Whalen, Brooke J

Whalen, Brooke J is an individual health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whalen, Brooke J can be contacted via phone (802) 773-3386.

Contact Information

Primary practice address
215 Stratton Rd Rutland VT 05701-4621
Fax: (802) 773-4578
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890001202 Vermont

Profile Details

NPI number 1043405335
LBN Legal business name Whalen, Brooke J
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Aug 12th, 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 1043405335 NPPES
Vermont MEDICAID 1014090

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