Healthcare Provider Details

I. General information

NPI: 1366846172
Provider Name (Legal Business Name): VERMONT CONSULTANTS FOR LANGUAGE & LEARNING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 10/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 WEST ST
MONTPELIER VT
05602-3144
US

IV. Provider business mailing address

9 WEST ST
MONTPELIER VT
05602-3144
US

V. Phone/Fax

Practice location:
  • Phone: 802-229-0100
  • Fax: 802-229-0101
Mailing address:
  • Phone: 802-229-0100
  • Fax: 802-229-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. SUSAN KIMMERLY
Title or Position: DIRECTOR
Credential: ED.D. CCC-SLP
Phone: 880-229-0100