Mrs. Susie Elizabeth Caron
Clinical Child & Adolescent Psychologist
325 Swamp Rd
Fairfax
, Vermont 05454-9777
Mrs. Susie Elizabeth Caron
Clinical Child & Adolescent Psychologist
325 Swamp Rd
Fairfax
, Vermont 05454-9777
(802) 849-2777
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Susie Elizabeth Caron
- Po Box 275
- Fairfax, VT
- Zip : 05454-0275
- Phone : (802) 849-2777
Second Address
- Mrs. Susie Elizabeth Caron
- 325 Swamp Rd
- Fairfax, VT
- Zip : 05454-9777
- Phone : (802) 849-2777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 047-0000717 | VT |
National Provider Identifier
| NPI | 1093877300 |
|---|---|
| Provider Name | Mrs. Susie Elizabeth Caron |
| First Address | Fairfax, VT 05454-0275 |
| Second Address | Fairfax, VT 05454-9777 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2006 |
| Last Update Date | 27/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1011337 | (05) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.