Healthcare Provider Details

I. General information

NPI: 1578596862
Provider Name (Legal Business Name): AMY VOISHAN LITTLEFIELD N.D.,LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/29/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 MAPLE ST STE 31A
MIDDLEBURY VT
05753-1605
US

IV. Provider business mailing address

PO BOX 352
EAST MIDDLEBURY VT
05740-0352
US

V. Phone/Fax

Practice location:
  • Phone: 802-989-7882
  • Fax: 802-989-7881
Mailing address:
  • Phone: 802-989-7882
  • Fax: 802-989-7881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number091-0000198
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099-0000197
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: