Individual
NAYA PYSKACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3 BAYCREST DR, SOUTH BURLINGTON, VT 05403-7713
(802) 999-9999
Mailing address
3 BAYCREST DR, SOUTH BURLINGTON, VT 05403-7713
(802) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000899
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009231
FLETCHER ALLEN PREFERRED
VT
05
—
1009231
—
VT
01
—
2278542
CIGNA BEHAVIORAL HEALTH
VT
01
—
576749
VALUE OPTIONS
—
01
—
68204
BLUE CROSS BLUE SHIELD
VT
Enumeration date
04/19/2006
Last updated
04/19/2019
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