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University Of Vermont And State Agricultural College

University Of Vermont And State Agricultural College is a health care provider in Burlington, VT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 489 Main St, Pomeroy Hall, Burlington, VT 05405-1709, US
Practice Location Phone802-656-3861
Practice Location Fax802-656-2528
Legal Business NameUNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
Other Organization NameELEANOR M. LUSE CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1578604310
Entity TypeOrganization
Enumeration Date ? Feb 12, 2007
Last Update Date ? Jan 21, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of University Of Vermont And State Agricultural College

SpecialtySpecializationLicenseLicense State
Audiologist

legacy-id-icon Legacy Provider IDs of University Of Vermont And State Agricultural College

Provider IdIssuer StateIssuer TypeIssuer
00002672OtherBCBS
64008OtherMVP
1005859VermontMedicaid

official-icon Authorized Official of University Of Vermont And State Agricultural College

An authorized official is an appointed official with the legal authority to make changes and/or updates to the University Of Vermont And State Agricultural College's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Moira Mulligan (CCC-SLP)
Authorized Official Title/PositionCLINIC DIRECTOR
Authorized Official Phone Number802-656-0202