| Gretchen Hoyum, | |
|
44 S Main St, Randolph, VT 05060-1381 | |
| (802) 728-7329 | |
| Not Available |
| Full Name | Gretchen Hoyum |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 44 S Main St, Randolph, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801660733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1000134273 (Vermont) | Primary |
| Entity Name | Gifford Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013269430 PECOS PAC ID: 2668624982 Enrollment ID: O20121213000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen Hoyum, 213 Elm St Apt 5, Montpelier, VT 05602-2271 Ph: (360) 689-4259 | Gretchen Hoyum, 44 S Main St, Randolph, VT 05060-1381 Ph: (802) 728-7329 |
Tammy Austin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Daniela M Caserta, Couples Therapy Medicare: Medicare Enrolled Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-2445 Fax: 802-728-2795 | |
Karen Butler, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |