Provider Demographics
NPI:1295846590
Name:DION, MARCIA A (MS)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:A
Last Name:DION
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 RIVER ST
Mailing Address - Street 2:STE 206
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3750
Mailing Address - Country:US
Mailing Address - Phone:802-229-5868
Mailing Address - Fax:802-229-0630
Practice Address - Street 1:156 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2702
Practice Address - Country:US
Practice Address - Phone:802-229-5868
Practice Address - Fax:802-229-0630
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT2922109OtherCIGNA PROVIDER ID
VT29385OtherBC/BS PROVIDER ID
VT1005883Medicaid
VTTX7439Medicare PIN