| Ejd, Llc | |
|
33 Bushey Rd Middlesex VT 05602-9200 | |
| (802) 730-2950 | |
| Not Available |
| Full Name | Ejd, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 Bushey Rd, Middlesex, Vermont |
| Authorized Official Name and Position | Dana Nicole Demartino (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8027302950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ejd, Llc 136 N Main St Ste 1 Barre VT 05641-4118 Ph: (802) 730-2950 | Ejd, Llc 33 Bushey Rd Middlesex VT 05602-9200 Ph: (802) 730-2950 |
| NPI Number | 1336500909 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336500909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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