Healthcare Provider Details

I. General information

NPI: 1326281643
Provider Name (Legal Business Name): VERMONT CENTER FOR THE DEAF AND HARD OF HEARING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 AUSTINE DR
BRATTLEBORO VT
05301-6634
US

IV. Provider business mailing address

209 AUSTINE DR
BRATTLEBORO VT
05301-6634
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateVT
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateVT

VIII. Authorized Official

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