| Ryan Stanton Plc | |
|
132 Main St Montpelier VT 05602-3226 | |
| (802) 249-7260 | |
| Not Available |
| Full Name | Ryan Stanton Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 Main St, Montpelier, Vermont |
| Authorized Official Name and Position | Ryan Stanton (THERAPIST) |
| Authorized Official Contact | 8022497260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Stanton Plc 168 Northfield St Montpelier VT 05602-3333 Ph: (802) 249-7260 | Ryan Stanton Plc 132 Main St Montpelier VT 05602-3226 Ph: (802) 249-7260 |
| NPI Number | 1427533355 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 09/26/2018 |
| Medicare PECOS PAC ID | 3476899212 |
|---|---|
| Medicare Enrollment ID | O20190115002525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427533355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ryan Timothy Stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841781218 PECOS PAC ID: 5294071031 Enrollment ID: I20190115002770 |
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