NPI 1457346124 · live from the CMS NPI Registry
Richard N Clattenburg, MD
Pediatrics, Developmental - Behavioral Pediatrics in Perkinsville, VT. National Provider Identifier 1457346124, active.
NPI record
| NPI | 1457346124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 1067 Cady Hill Rd, Perkinsville, VT 05151 |
| Practice phone | 802-263-5505 |
| Enumerated | September 19, 2005 |
| Last updated | June 2, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Technician, Basic | 146N00000X | 0420006288 (VT) |
| Pediatrics | 208000000X | 042-0006288 (VT) |
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | 042-0006288 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.