| Doctor Name: | HEATHER CHAUDOIR |
| NPI Number: | 1679975163 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 089.0103255 |
| Business Practice Address: | 3 Academy Avenue Saxtons River, VT - 05154 |
| Business Phone Number: | 8028692747 |
| Business Fax Number: | 8028692746 |
| Mailing Address: | Po Box 11, SAXTONS RIVER |
| State: | VT |
| Postal Code: | 051540011 |
| Phone Number: | 8028692747 |
| Fax Number: | 8028692746 |
| NPI Enumeration Date: | 09/16/2014 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 089.0103255 |
| 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 |