Brodie, Lesley Thompson
Brodie, Lesley Thompson is an sole proprietor health care provider with primary practice located at 82 Elm Street , Manchester Center VT 05255. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Brodie, Lesley Thompson can be contacted via phone (802) 367-1068.Contact Information
Primary practice address
82 Elm Street
Manchester Center VT 05255
Phone: (802) 367-1068
Fax: (802) 367-1069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 57553361205 | Utah |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 261723-01 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 042-0012150 | Vermont |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 57553361205 | Utah |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 261723-01 | New York |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 042-0012150 | Vermont |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 57553361205 | Utah |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 287048 | Massachusetts |
Profile Details
| NPI number | 1720050552 |
|---|---|
| LBN Legal business name | Brodie, Lesley Thompson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Feb 25th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720050552 | NPPES |
| Vermont | MEDICAID | 1019286 |
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