Individual
TINA L BLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
30 AIRPORT RD, S BURLINGTON, VT 05403-6432
(802) 658-3924
(802) 658-0216
Mailing address
11 TAFT ST, ESSEX JUNCTION, VT 05452-3150
(802) 288-9986
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
047-0000688
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00048412
BC BS PROVIDER NUMBER
VT
05
—
1011221
—
VT
01
—
2252996
CIGNA PROVIDER NUMBER
VT
01
—
389998
MVP PROVIDER NUMBER
VT
Enumeration date
12/15/2006
Last updated
07/09/2007
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