Active NPIIndividual provider

Lynn M Wickberg, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Springfield, Vermont

NPI Number1013014059
Practice location
390 River St., Springfield, VT 05156-2226
Fax
282-886-4520
Last updated
November 2, 2010

Lynn M.h. Wickberg is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Springfield, VT. Lynn M.h. Wickberg practices in Springfield, VT and has the professional credentials of MD. The NPI Number for Lynn M.h. Wickberg is 1013014059 and holds a License No. 11404 (NH). The current practice location address for Lynn M.h. Wickberg is 390 River St., Springfield, VT 05156-2226 and can be reached out via phone at 802-886-4500 and via fax at 282-886-4520.

Provider Profile Details

NPI Number
1013014059
Provider Name
Lynn M.h. Wickberg
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
390 River St., Springfield, VT 05156-2226
Phone Number
802-886-4500
Fax Number
282-886-4520
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
November 2, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 River St.
Springfield, VT 05156-2226
State
Vermont
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
282-886-4520
Springfield, VT 05156Get directions →

Provider Business Mailing Address Details

Address
390 River St.
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
282-886-4520

License Information

License Number (1)
11404
License State (1)
NH
License Number (2)
042-0009565
License State (2)
VT
Taxonomy (2)
Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lynn M Wickberg, MD?

The NPI number of Lynn M Wickberg, MD is 1013014059. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Lynn M Wickberg, MD?

Lynn M Wickberg, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in NH under license number 11404.

Where does Lynn M Wickberg, MD practice?

The practice location is 390 River St., Springfield, VT 05156-2226. The office can be reached at 802-886-4500 (phone) or 282-886-4520 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013014059 directly on the NPPES registry website.

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