NPI 1114076163

Susan Legacy, MD

Practitioner Psychiatry Physician Williston, VT

Practice location

Address: 188 Allen Brook Ln, Williston, VT 05495-9303
Phone: (802) 876-4000
Fax: (802) 876-4001

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 0420008675 (VT)

Other Psychiatry & Neurology providers in Vermont →

Registry record

NPI: 1114076163
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2007
Record last updated: 9 Jul 2007

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.