Provider Demographics
NPI:1588831382
Name:SKLAR, ANIE (LFMT)
Entity Type:Individual
Prefix:
First Name:ANIE
Middle Name:
Last Name:SKLAR
Suffix:
Gender:F
Credentials:LFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:12 LOWER PLAINS RD.
Mailing Address - City:EAST MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05740-0444
Mailing Address - Country:US
Mailing Address - Phone:802-377-9448
Mailing Address - Fax:
Practice Address - Street 1:47 COURT ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1454
Practice Address - Country:US
Practice Address - Phone:802-377-9448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT100-0000056106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist