Healthcare Provider Details

I. General information

NPI: 1831251651
Provider Name (Legal Business Name): VERMONT CENTER FOR DEAF AND HARD OF HEARING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 10/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 AUSTINE DR
BRATTLEBORO VT
05301-7040
US

IV. Provider business mailing address

130 AUSTINE DR
BRATTLEBORO VT
05301-7040
US

V. Phone/Fax

Practice location:
  • Phone: 802-254-3929
  • Fax: 802-258-9574
Mailing address:
  • Phone: 802-254-3929
  • Fax: 802-258-9574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateVT

VIII. Authorized Official

Name: TERRY KEEGAN
Title or Position: COORDINATOR
Credential: M.S., M.ED.
Phone: 802-254-3929