Maynard, Katherine Hudspeth

Maynard, Katherine Hudspeth is an sole proprietor health care provider with primary practice located at 20 W Canal St Suite C2, Winooski VT 05404-2131. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Maynard, Katherine Hudspeth can be contacted via phone (802) 654-7600.

Contact Information

Primary practice address
20 W Canal St Suite C2 Winooski VT 05404-2131
Phone: (802) 654-7600
Fax: (802) 654-7601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000158 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000481 Vermont

Profile Details

NPI number 1184775694
LBN Legal business name Maynard, Katherine Hudspeth
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 9th, 2007 - about 18 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 1184775694 NPPES
Vermont Other 208405 CIGNA BEHAVIORAL HEALTH C
Vermont MEDICAID 1008141 CIGNA BEHAVIORAL HEALTH C
Vermont Other 58349 CIGNA BEHAVIORAL HEALTH C
Vermont Other 61225 CIGNA BEHAVIORAL HEALTH C

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