Individual
ELIZABETH ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC A
Contact information
Practice address
489 MAIN STREET, UNIVERSITY OF VERMONT POMEROY HALL, BURLINGTON, VT 05405-0130
(802) 656-3861
(802) 656-2528
Mailing address
489 MAIN STREET, UNIVERSITY OF VERMONT POMEROY HALL, BURLINGTON, VT 05405-0130
(802) 656-3861
(802) 656-2528
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12017634
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04V034
MVP
—
05
—
1007830
—
VT
01
—
49733
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/16/2006
Last updated
07/08/2007
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