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1336438712

NPI Code Detail

MEDICARE: SARAH ELLEN EBERHARDT GUTH MD

MEDICARE: SARAH ELLEN EBERHARDT GUTH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	324718	NY
2	2084P0804X	Child & Adolescent Psychiatry Physician	042.0012887	VT
3	2084P0804X	Child & Adolescent Psychiatry Physician	324718	NY
4	2084P0800X	Psychiatry Physician	042.0012887	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336438712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELLEN EBERHARDT GUTH MD

Provider Business Mailing Address
First Line	:	111 COLCHESTER AVE
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1473
Country	:	US
Telephone Number	:	802-847-0000
Fax Number	:	802-371-4579

Provider Business Practice Location Address
First Line	:	111 COLCHESTER AVE
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1473
Country	:	US
Telephone Number	:	802-847-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2011
Last Update Date	:	02/23/2026

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Directions to “ SARAH ELLEN EBERHARDT GUTH MD” Practice Location

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