Provider Demographics
NPI:1689956807
Name:KUHLMAN, ALISABETH PEARL
Entity Type:Individual
Prefix:
First Name:ALISABETH
Middle Name:PEARL
Last Name:KUHLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISABETH
Other - Middle Name:
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1138 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5353
Mailing Address - Country:US
Mailing Address - Phone:802-488-6600
Mailing Address - Fax:802-488-6601
Practice Address - Street 1:41 BARRE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3504
Practice Address - Country:US
Practice Address - Phone:025-552-0568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-01033421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical