Tree, Amy Maxine

Tree, Amy Maxine is an sole proprietor health care provider with primary practice located at 3 Main St Suite 216, Burlington VT 05401-5216. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tree, Amy Maxine can be contacted via phone (802) 651-7517.

Contact Information

Primary practice address
3 Main St Suite 216 Burlington VT 05401-5216
Fax: (802) 860-1234
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0470000679 Vermont

Profile Details

NPI number 1215092242
LBN Legal business name Tree, Amy Maxine
Credentials MACP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jan 31st, 2009 - about 16 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 1215092242 NPPES
Vermont MEDICAID 1007293
Vermont Other 2076328
Vermont Other 39584
Vermont Other 191313000
Vermont Other 559398
Vermont Other 300215965

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