Healthcare Provider Details

I. General information

NPI: 1902082597
Provider Name (Legal Business Name): VERMONT AUDIOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 04/26/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 RIVER ST STE 103
MONTPELIER VT
05602-3750
US

IV. Provider business mailing address

81 RIVER ST STE 103
MONTPELIER VT
05602-3750
US

V. Phone/Fax

Practice location:
  • Phone: 802-229-5868
  • Fax: 802-229-0630
Mailing address:
  • Phone: 802-229-5868
  • Fax: 802-229-0630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateVT

VIII. Authorized Official

Name: MS. MARCIA A. DION
Title or Position: CLINICAL AUDIOLOGIST
Credential: MS, CCC-A
Phone: 802-229-5868