| Doctor Name: | MS. ELIZABETH ANN FREDLAND |
| NPI Number: | 1548425598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 089.0086539 |
| Business Practice Address: | 113 School St Manchester Center, VT - 052559370 |
| Business Phone Number: | 8023620994 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1242, BENNINGTON |
| State: | VT |
| Postal Code: | 052011242 |
| Phone Number: | 8026816824 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2008 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 089.0086539 |
| 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 |