Individual
PATRICIA ANN PRELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
UNIVERSITY OF VERMONT, 489 MAIN STREET POMEROY HALL, BURLINGTON, VT 06405-0130
(802) 656-3861
(802) 656-2528
Mailing address
UNIVERSITY OF VERMONT, 489 MAIN STREET POMEROY HALL, BURLINGTON, VT 06405-0130
(802) 656-3861
(802) 656-2528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL000073L
PA
235Z00000X
Speech-Language Pathologist
SP2054
OH
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49734
BLUE CROSS BLUE SHIELD
—
01
—
66V012
MVP
—
Enumeration date
11/16/2006
Last updated
07/08/2007
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