Provider Demographics
NPI:1376878322
Name:FIORA DEL FABRO, PAOLA (LMFT)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:FIORA DEL FABRO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:PAOLA
Other - Middle Name:
Other - Last Name:DICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LIC MFT
Mailing Address - Street 1:36 PARK PL STE 101
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-2802
Mailing Address - Country:US
Mailing Address - Phone:802-251-6573
Mailing Address - Fax:802-251-6568
Practice Address - Street 1:36 PARK PL STE 101
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-2802
Practice Address - Country:US
Practice Address - Phone:802-251-6573
Practice Address - Fax:802-251-6568
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1000055801106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT993403OtherMVP
VT000888515OtherOPTUM
VT1016894Medicaid