Provider Demographics
NPI:1033355706
Name:ZEEB, JEAN (MA)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:
Last Name:ZEEB
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JEAN
Other - Middle Name:
Other - Last Name:PHILIPSON-ZEEB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:981 CARPENTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05301-8315
Mailing Address - Country:US
Mailing Address - Phone:802-451-6204
Mailing Address - Fax:
Practice Address - Street 1:229 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6589
Practice Address - Country:US
Practice Address - Phone:802-451-6204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068000435101YM0800X
MA2029271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1007136Medicaid