Female

Susan Legacy MD

Psychiatry Physician in Williston, VT(View on Map)

Full Name

Susan Legacy MD

NPI Number

1114076163

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/09/2007

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Vermont

License Number

0420008675

Contact
Information

Purpose

Mailing
Location

Address

188 ALLEN BROOK LN
188 ALLEN BROOK LN

City

Williston
Williston

State

VT
VT

Postal Code

05495-9303
05495-9303

Country

US
US

Telephone Number

(802) 876-4000
(802) 876-4000

Identifiers

Identifier

0VN0708

Identifier State

VT

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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