- Practice location
- 78 S Main St, Rutland, VT 05701-4591
- Phone
- 802-775-0828
- Fax
- —
- Last updated
- December 21, 2015
Danielle Rae Bergeron Ingram is a Psychologist, Clinical based in Rutland, VT. Danielle Rae Bergeron Ingram practices in Rutland, VT and has the professional credentials of LPC, MS, QDDP. The NPI Number for Danielle Rae Bergeron Ingram is 1669877452 and holds a License No. 047.0111914 (VT). The current practice location address for Danielle Rae Bergeron Ingram is 78 S Main St, Rutland, VT 05701-4591 and can be reached out via phone at 802-775-0828.
Provider Profile Details
- NPI Number
- 1669877452
- Provider Name
- Danielle Rae Bergeron Ingram
- Credential
- LPC, MS, QDDP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 78 S Main St, Rutland, VT 05701-4591
- Phone Number
- 802-775-0828
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 23, 2014
- Last Update Date
- December 21, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 78 S Main St
Rutland, VT 05701-4591 - City
- Rutland
- State
- Vermont
- Zip
- 05701-4591
- Phone Number
- 802-775-0828
Provider Business Mailing Address Details
- Address
- 78 S Main St
Rutland, VT 05701-4591 - City
- Rutland
- State
- VT
- Zip
- 05701-4591
- Phone Number
- 802-775-0828
License Information
- License Number
- 047.0111914
- License State
- VT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Rutland, VT
View all Psychologist, Clinical providers in Rutland →Frequently Asked Questions
What is the NPI number of Danielle R Bergeron Ingram, LPC, MS, QDDP?
The NPI number of Danielle R Bergeron Ingram, LPC, MS, QDDP is 1669877452. It was assigned on October 23, 2014 and is currently active in the NPPES registry.
What is the specialty of Danielle R Bergeron Ingram, LPC, MS, QDDP?
Danielle R Bergeron Ingram, LPC, MS, QDDP is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 047.0111914.
Where does Danielle R Bergeron Ingram, LPC, MS, QDDP practice?
The practice location is 78 S Main St, Rutland, VT 05701-4591. The office can be reached at 802-775-0828 (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 1669877452 directly on the NPPES registry website.