Provider Demographics
NPI:1780775189
Name:VT CENTER FOR THE DEAF & HOH
Entity type:Organization
Organization Name:VT CENTER FOR THE DEAF & HOH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-258-9515
Mailing Address - Street 1:209 AUSTINE DR
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6634
Mailing Address - Country:US
Mailing Address - Phone:802-258-9500
Mailing Address - Fax:802-258-9574
Practice Address - Street 1:130 AUSTINE DR STE 210
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6994
Practice Address - Country:US
Practice Address - Phone:802-254-3922
Practice Address - Fax:802-258-9512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT2694OtherAUDIOLOGY
VT341477OtherAUDIOLOGY
VT1002000Medicaid
VT1002000Medicaid