Robert William Ranger, LMFT

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

NPI 1578894572 · NPPES record last updated Jan 15, 2010

Key facts

NPI
1578894572
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
100-0057170 (VT)
Practice address
86 Lake St
Burlington, VT 05401-5297
Phone
(802) 865-3450
Fax
(802) 860-5011
NPI assigned
Jan 15, 2010
Sex
Male
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
100-0057170VTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100-0057170 VT Yes

Addresses

Primary practice location

86 Lake St
Burlington, VT 05401-5297

Mailing address

86 Lake St
Burlington, VT 05401-5297
Phone (802) 865-3450

Other providers in Burlington, VT

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

Sources for this page

Verify at the official NPI Registry.