Organization
BRADFORD PSYCHIATRIC ASSOCIATES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEE LAUGHLIN (PRACTICE ADMINISTRATOR)
(802) 775-7798
Entity
Organization
Contact information
Practice address
199 STRATTON RD STE 1, RUTLAND, VT 05701-4892
(802) 775-7798
(802) 775-7762
Mailing address
199 STRATTON RD STE 1, RUTLAND, VT 05701-4892
(802) 775-7798
(802) 775-7762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012105
—
VT
Enumeration date
04/10/2007
Last updated
07/30/2025
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