Healthcare Provider Details

I. General information

NPI: 1780775189
Provider Name (Legal Business Name): VT CENTER FOR THE DEAF & HOH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 AUSTINE DR STE 210
BRATTLEBORO VT
05301-6994
US

IV. Provider business mailing address

209 AUSTINE DR
BRATTLEBORO VT
05301-6634
US

V. Phone/Fax

Practice location:
  • Phone: 802-254-3922
  • Fax: 802-258-9512
Mailing address:
  • Phone: 802-258-9500
  • Fax: 802-258-9574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: LINDA GRIFFIN
Title or Position: DIRECTOR OF FINANCE AND OPERATIONS
Credential:
Phone: 802-258-9515