Healthcare Provider Details

I. General information

NPI: 1689956807
Provider Name (Legal Business Name): ALISABETH PEARL KUHLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALISABETH GROSS

II. Dates (important events)

Enumeration Date: 09/14/2011
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BARRE ST
MONTPELIER VT
05602-3504
US

IV. Provider business mailing address

1138 PINE ST
BURLINGTON VT
05401-5353
US

V. Phone/Fax

Practice location:
  • Phone: 25-552-0568
  • Fax:
Mailing address:
  • Phone: 802-488-6600
  • Fax: 802-488-6601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089-0103342
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: