Sadlak, Mary Jean

Sadlak, Mary Jean is an individual health care provider with primary practice located at 160 Benmont Ave Suite 20, Bennington VT 05201-1873. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Sadlak, Mary Jean can be contacted via phone (802) 442-3520.

Contact Information

Primary practice address
160 Benmont Ave Suite 20 Bennington VT 05201-1873
Phone: (802) 442-3520
Fax: (802) 447-3392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 0480000505 Vermont

Profile Details

NPI number 1659435147
LBN Legal business name Sadlak, Mary Jean
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 6th, 2015 - about 11 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 1659435147 NPPES
Vermont MEDICAID 0VN0349

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