Healthcare Provider Details

I. General information

NPI: 1144488016
Provider Name (Legal Business Name): SUSAN L SWINDELL LPMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUE SWINDELL LPMA

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HEATON ST
MONTPELIER VT
05602-2489
US

IV. Provider business mailing address

PO BOX 647
MONTPELIER VT
05601-0647
US

V. Phone/Fax

Practice location:
  • Phone: 802-223-6328
  • Fax: 802-229-8004
Mailing address:
  • Phone: 802-223-6328
  • Fax: 802-229-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number047-0000737
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: