NPI 1043567977
State of Vermont
Practice location
- Address
- 350 Fisher Road, Berlin, VT 05633-7901
- Phone
- (802) 828-3300
- Fax
- (802) 828-2587
- Mailing address
- 280 State Dr, Waterbury, VT 05671-2010
Authorised official
- Name
- Wendy Suzette Shapiro
- Title
- Ceo
- Phone
- (802) 828-2821
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1043567977
- Entity type
- Organization
- NPI issued
- 9 Aug 2012
- Record last updated
- 24 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.