| Doctor Name: | MR. SALVATORE JOSEPH PROVETTO |
| NPI Number: | 1386931830 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 0890071313 |
| Business Practice Address: | 4118 Rte 116 Starksboro, VT - 054877006 |
| Business Phone Number: | 8023775137 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8, STARKSBORO |
| State: | VT |
| Postal Code: | 054870008 |
| Phone Number: | 8023775137 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2011 |
| NPI Last Update Date: | 07/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0890071313 |
| 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 |