Healthcare Provider Details

I. General information

NPI: 1467240622
Provider Name (Legal Business Name): LINDSEY CHARRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 DUCK POND RD
WATERFORD VT
05819-9643
US

IV. Provider business mailing address

109 UNION ST APT 3
LITTLETON NH
03561-5760
US

V. Phone/Fax

Practice location:
  • Phone: 802-748-9393
  • Fax:
Mailing address:
  • Phone: 508-367-8332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: