Doctor Name: | LEE CRIDER |
NPI Number: | 1245259001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 089-0000482 |
Business Practice Address: | 50 Granview Dr Barre, VT - 056415113 |
Business Phone Number: | 8024792502 |
Business Fax Number: | |
Mailing Address: | Po Box 647, MONTPELIER |
State: | VT |
Postal Code: | 056010647 |
Phone Number: | 8024792502 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089-0000482 |
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 |