Lookup NPI Numbers from the NPI Registry
NPI Profile for TONY J GRAVELINE in DERBY, VT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1023316494 |
|
| Status | Active | |
| Credentials | LADC | |
| Entity | Individual | |
| Enumeration date | 03/08/2011 | |
| Last updated | 09/05/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TONY J GRAVELINE
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TONY J GRAVELINE, LADC