Individual
PEGGY SHEEHAN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3556 MAIN ST, MANCHESTER, VT 05254-0525
(802) 379-8517
(802) 332-3778
Mailing address
1677 BARNUMVILLE RD, MANCHESTER CENTER, VT 05255-9449
(802) 379-8517
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
089-0000359
VT
104100000X
Social Worker
089-0000359
VT
1041C0700X
Clinical Social Worker
Primary
089-0000359
VT
1041C0700X
Clinical Social Worker
089.0000359
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007299
—
VT
01
—
1041590
CIGNA
—
01
—
359508
MANAGED HEALTH NET
—
01
—
38184
BLUE CROSS
—
Enumeration date
07/21/2006
Last updated
03/03/2025
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