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NPI Code Detail

MEDICARE: SOPHIA A BERARD

MEDICARE: SOPHIA A BERARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor097.0136046VT

General Provider Information

NPI Number : 1679436661
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA A BERARD
Provider Business Mailing Address
First Line : 66 MORRISVILLE PLZ
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-4482
Country : US
Telephone Number : 802-888-8320
Fax Number :
Provider Business Practice Location Address
First Line : 66 MORRISVILLE PLZ
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-4482
Country : US
Telephone Number : 802-888-8320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ SOPHIA A BERARD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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