Tammy Austin, LMFT

Individual provider Active NPI Marriage & Family Therapist · Randolph, VT

NPI 1437201423 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1437201423
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
100-0000050 (VT)
Practice address
11 S Main St
Randolph, VT 05060-1330
Phone
(802) 728-4466
Fax
(802) 728-4197
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
100-0000050VTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100-0000050 VT Yes

Addresses

Primary practice location

11 S Main St
Randolph, VT 05060-1330

Mailing address

20 Pinewood Rd
Box C8
Middlebury, VT 05753-1158
Phone (802) 683-8763

Other providers in Randolph, VT

All providers in Randolph, VT · Marriage & Family Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.