Provider Demographics
NPI:1437764974
Name:VERMONT NEUROPSYCHOLOGY LLC
Entity Type:Organization
Organization Name:VERMONT NEUROPSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:TORSTRICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:802-448-0137
Mailing Address - Street 1:2 CHURCH ST STE 3G
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4457
Mailing Address - Country:US
Mailing Address - Phone:802-448-0137
Mailing Address - Fax:
Practice Address - Street 1:2 CHURCH ST STE 3G
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4457
Practice Address - Country:US
Practice Address - Phone:802-448-0137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)