MS. SALLY LOUISE MATTSON (NPI# 1548353808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548353808 |
| Entity Type | Individual |
| Full Name | MS. SALLY LOUISE MATTSON |
| Credential | M.ED |
| Practice Address |
72 Grove St Brattleboro VT 05301-6040 |
| Practice Telephone | 8022574555 |
| Mailing Telephone | 8022574555 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
294 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BLUE CROSS BLUE SHIELD | 2635 | 01 |
| VT | LICENSE # | 294 | 01 |
| Street Address |
72 GROVE ST |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184862203 | William Fred Warriner | Counselor | 72 Grove St, Brattleboro, VT 05301-6987 | 2009-01-27 |
| 1912085382 | Marc Cohen | Counselor | 72 Grove St, Brattleboro, VT 05301-6040 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1801088828 | Judy Beryl Greenberg | Psychologist | 167 Main St, Brattleboro, VT 05301-7128 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461066 | Bhuttu Mathews | Psychologist | 110 Main St Ste 4a, Burlington, VT 05401-8451 | 2020-06-09 |
| 1891110508 | Douglas Smith | Psychologist | 180 Foote St, Middlebury, VT 05753-2018 | 2014-03-04 |
| 1508281064 | Jeffrey Steven Martin | Psychologist | 300 Palmer Ln, Charlotte, VT 05445-4410 | 2014-02-20 |
| 1508299322 | Heather Finley Phd Pllc | Psychologist | 231 Maple St Ste 1, Burlington, VT 05401-4562 | 2013-08-15 |
| 1487935516 | Andrea Lee Kelly | Psychologist | 444 South Union St., Suite 230, Burlington, VT 05401 | 2011-09-02 |
| 1508188731 | Regina S Murphy | Psychologist | 204 Mountainview Dr, Waterbury, VT 05676-9346 | 2010-02-15 |
| 1356434690 | Camille Irene Parker | Psychologist | 1462 Green Mountain Tpke, Chester, VT 05143-8874 | 2006-10-01 |
| 1710070115 | Cecily M. Monro | Psychologist | 287 County Rd, Windsor, VT 05089-1261 | 2006-09-30 |
| 1629169099 | Jeannette D Keenan | Psychologist | 231 Concord Ave Ste 1, St Johnsbury, VT 05819-1513 | 2006-09-28 |
| 1255342655 | Peter Donald Mills | Psychologist | 11q Vamc White River Jct, 215 N. Main Street, White River Junction, VT 05009-0001 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
| City | BRATTLEBORO |
| Zip Code | 05301 |
Please comment or provide details below to improve the information on MS. SALLY LOUISE MATTSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.