=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801754908
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INFANT DEVELOPMENT TEAM, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/15/2026
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 145 PINE HAVEN SHORES RD STE 1000A
-----------------------------------------------------
City | SHELBURNE
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05482-7812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-497-7679
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 145 PINE HAVEN SHORES RD STE 1000A
-----------------------------------------------------
City | SHELBURNE
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05482-7812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-497-7679
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ANNE SPECTOR HARDY
-----------------------------------------------------
Credential | MA, CCC-SLP, CLC
-----------------------------------------------------
Telephone | 802-497-7679
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------