Active NPIIndividual provider

Tina L Bleau, MA

Psychologist, Clinical Child & Adolescent in S Burlington, Vermont

NPI Number1427110188
Practice location
30 Airport RD, S Burlington, VT 05403-6432
Fax
802-658-0216
Last updated
July 9, 2007

Tina L Bleau is a Psychologist, Clinical Child & Adolescent based in S Burlington, VT. Tina L Bleau practices in S Burlington, VT and has the professional credentials of MA. The NPI Number for Tina L Bleau is 1427110188 and holds a License No. 047-0000688 (VT). The current practice location address for Tina L Bleau is 30 Airport RD, S Burlington, VT 05403-6432 and can be reached out via phone at 802-658-3924 and via fax at 802-658-0216.

Provider Profile Details

NPI Number
1427110188
Provider Name
Tina L Bleau
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
30 Airport RD, S Burlington, VT 05403-6432
Phone Number
802-658-3924
Fax Number
802-658-0216
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Airport RD
S Burlington, VT 05403-6432
State
Vermont
Zip
05403-6432
Phone Number
802-658-3924
Fax Number
802-658-0216
S Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
11 Taft St
Essex Junction, VT 05452-3150
City
Essex Junction
State
VT
Zip
05452-3150
Phone Number
802-288-9986

License Information

License Number
047-0000688
License State
VT
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · 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 Tina L Bleau, MA?

The NPI number of Tina L Bleau, MA is 1427110188. It was assigned on December 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Tina L Bleau, MA?

Tina L Bleau, MA is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in VT under license number 047-0000688.

Where does Tina L Bleau, MA practice?

The practice location is 30 Airport RD, S Burlington, VT 05403-6432. The office can be reached at 802-658-3924 (phone) or 802-658-0216 (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 1427110188 directly on the NPPES registry website.

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