Individual
DR. SIMHA E RAVVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 488-6000
(802) 488-6919
Mailing address
102 S WINOOSKI AVE, BURLINGTON, VT 05401-7406
(802) 488-6920
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
042.0012892
VT
2084F0202X
Forensic Psychiatry Physician
051920
CT
2084F0202X
Forensic Psychiatry Physician
249895
MA
2084P0800X
Psychiatry Physician
051920
CT
Other
Enumeration date
03/28/2009
Last updated
04/29/2025
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