Alexandra Anne Forbes, MA
Individual provider Active NPI Psychologist · Montpelier, VT
NPI 1124157755 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124157755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 457 (VT)
- Practice address
- 138 Main
Montpelier, VT 05602 - Phone
- (802) 229-1643
- Fax
- (802) 229-1643
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 457 | VT | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 457 | VT | Yes |
Addresses
Primary practice location
138 Main
Montpelier, VT 05602
Mailing address
138 Main St
Montpelier, VT 05602
Phone (802) 229-1643
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002869 | Medicaid | VT | |
| 5219 | Other | VT | BCBS OF VERMONT |
Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.