Ross, Allen

Ross, Allen is an individual health care provider with primary practice located at Anna Marsh Lane , Brattleboro VT 05302. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Ross, Allen can be contacted via phone (802) 257-7785.

Contact Information

Primary practice address
Anna Marsh Lane Brattleboro VT 05302
Phone: (802) 257-7785
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 048-0000238 Vermont

Profile Details

NPI number 1366495624
LBN Legal business name Ross, Allen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated May 13th, 2009 - about 17 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 1366495624 NPPES
Vermont MEDICAID 0002637

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