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NPI Code Detail

MEDICARE: MEGHAN A. ALBRECHT LICSW

MEDICARE: MEGHAN A. ALBRECHT LICSW
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
1103T00000XPsychologist089.0104852VT
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1710211016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN A. ALBRECHT LICSW
Provider Business Mailing Address
First Line : PO BOX 749
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-0749
Country : US
Telephone Number : 802-888-8320
Fax Number : 802-888-8136
Provider Business Practice Location Address
First Line : 65 NORTHGATE PLAZA
Second Line : SUITE 11
City : MORRISVILLE
State : VT
Zip : 05661-5900
Country : US
Telephone Number : 802-888-8320
Fax Number : 802-888-8136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2009
Last Update Date : 08/27/2014

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Directions to “ MEGHAN A. ALBRECHT LICSW” Practice Location

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