Doctor Name: | MR. DAVID HUESMAN |
NPI Number: | 1073784849 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW LADC |
License Number: | 0890000376 |
Business Practice Address: | 34 Patchen Rd South Burlington, VT - 054035704 |
Business Phone Number: | 8026584208 |
Business Fax Number: | 8026582234 |
Mailing Address: | 34 Patchen Rd, SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054035704 |
Phone Number: | 8026584208 |
Fax Number: | 8026582234 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0890000376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |