Michele Aaron Fouts, MA
Individual provider Active NPI Clinical Psychologist · New Haven, VT
NPI 1164780946 · NPPES record last updated Apr 30, 2012
Key facts
- NPI
- 1164780946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0470084103 (VT)
- Practice address
- 87 Rivers Bend Rd
New Haven, VT 05472-1101 - Phone
- (802) 388-3887
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 0470084103 | VT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Engagement Institute, L3C | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0470084103 | VT | Yes |
Addresses
Primary practice location
87 Rivers Bend Rd
New Haven, VT 05472-1101
Mailing address
87 Rivers Bend Rd
New Haven, VT 05472-1101
Phone (802) 388-3887
Other providers in New Haven, VT
- Wanda Hier Bouvier
- Hilary Frost Boyle
- Mary-Katherine Clark
- Sara Daly
- Dynamic Engagement Institute, L3C
- Joan Sharon Johnson
- Rebecca Kennedy
- Amanda Locker
- Stuart Moore Maccrellish
- Andrew R. Morton
All providers in New Haven, VT · Clinical Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2012. 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.