Matiach, Elizaveta

Matiach, Elizaveta is an individual health care provider with primary practice located at 607 Washington Hwy , Morrisville VT 05661-8652. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Matiach, Elizaveta can be contacted via phone (802) 888-8320.

Contact Information

Primary practice address
607 Washington Hwy Morrisville VT 05661-8652
Phone: (802) 888-8320
Fax: (802) 888-8136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 047.0000698 Vermont
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0127410 Vermont
Behavioral Health & Social Service Providers / Psychologist 103T00000X 047-0000698 Vermont

Profile Details

NPI number 1255421004
LBN Legal business name Matiach, Elizaveta
Credentials MS, LPM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jan 22nd, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255421004 NPPES
Vermont MEDICAID 1007708
Vermont Other 2081698
Vermont Other 00058059
Vermont Other 615535

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