Powell, Thomas

Powell, Thomas is an individual health care provider with primary practice located at 4281 Shelburne Rd , Shelburne VT 05482-7121. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Powell, Thomas can be contacted via phone (802) 985-2412.

Contact Information

Primary practice address
4281 Shelburne Rd Shelburne VT 05482-7121
Phone: (802) 985-2412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 480 Vermont

Profile Details

NPI number 1841311677
LBN Legal business name Powell, Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Mar 5th, 2014 - about 12 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 1841311677 NPPES
Vermont Other POWE062-8367 BLUE CROSS BLUE SHIELD
Vermont MEDICAID 1003074 BLUE CROSS BLUE SHIELD

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