Individual
PAUL STITELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
(802) 442-4910
Mailing address
PO BOX 588, BENNINGTON, VT 05201-0588
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
089-0000380
VT
104100000X
Social Worker
Primary
089-0000380
VT
1041C0700X
Clinical Social Worker
089-0000380
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007304
—
VT
01
—
1046975
CIGNA
—
01
—
19373
BLUE CROSS
—
Enumeration date
08/09/2006
Last updated
08/04/2008
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