Active NPIIndividual providerSole proprietor

Dr. Tina Bly, PHD

Student in an Organized Health Care Education/Training Program in Bennington, Vermont

NPI Number1518823772
Practice location
168 North St, Bennington, VT 05201-1874
Fax
—
Last updated
January 6, 2026

Tina Bly is a Student in an Organized Health Care Education/Training Program based in Bennington, VT. Tina Bly practices in Bennington, VT and has the professional credentials of PHD. The NPI Number for Tina Bly is 1518823772 and holds a License No. 097.0136784 (VT). The current practice location address for Tina Bly is 168 North St, Bennington, VT 05201-1874 and can be reached out via phone at 802-342-4636.

Provider Profile Details

NPI Number
1518823772
Provider Name
Tina Bly
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
168 North St, Bennington, VT 05201-1874
Phone Number
802-342-4636
Sole Proprietor
Yes
Provider Enumeration Date
December 31, 2025
Last Update Date
January 6, 2026
Certification Date
January 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
168 North St
Bennington, VT 05201-1874
State
Vermont
Zip
05201-1874
Phone Number
802-342-4636
Bennington, VT 05201Get directions →

Provider Business Mailing Address Details

Address
168 North St
Bennington, VT 05201-1874
City
Bennington
State
VT
Zip
05201-1874
Phone Number
802-342-4636

License Information

License State (1)
VT
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
097.0136784
License State (2)
VT

Legacy Identifiers

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

Other Student in an Organized Health Care Education/Training Program providers near Bennington, VT

View all Student in an Organized Health Care Education/Training Program providers in Bennington →

Frequently Asked Questions

What is the NPI number of Dr. Tina Bly, PHD?

The NPI number of Dr. Tina Bly, PHD is 1518823772. It was assigned on December 31, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Tina Bly, PHD?

Dr. Tina Bly, PHD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in VT under license number 097.0136784.

Where does Dr. Tina Bly, PHD practice?

The practice location is 168 North St, Bennington, VT 05201-1874. The office can be reached at 802-342-4636 (phone).

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 1518823772 directly on the NPPES registry website.

Browse related providers