State of Vermont

NPI #1043567977 in Berlin, Vermont

Provider Information

NPI Number: 1043567977
Entity Type: Organization
Organization Name: State of Vermont
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF VERMONT
Primary Specialty: Psychiatric Hospital
Enumeration Date: Aug 9, 2012
Last Updated: Dec 24, 2025

Practice Location

Address: 350 FISHER ROAD
City: Berlin
State: Vermont
ZIP Code: 05633-7901
Phone: (802) 828-3300

Authorized Official

Name: MRS. WENDY SUZETTE SHAPIRO
Title: CEO
Phone: (802) 828-2821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Hospital	283Q00000X	Primary

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