Provider Demographics
NPI:1467345157
Name:SPAULDING, EDWARD (PHD, LADC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:SPAULDING
Suffix:
Gender:M
Credentials:PHD, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:
Mailing Address - City:WAITSFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05673-1074
Mailing Address - Country:US
Mailing Address - Phone:802-858-4286
Mailing Address - Fax:802-329-2290
Practice Address - Street 1:31 CENTER FAYSTON RD
Practice Address - Street 2:
Practice Address - City:MORETOWN
Practice Address - State:VT
Practice Address - Zip Code:05660-9333
Practice Address - Country:US
Practice Address - Phone:802-858-4286
Practice Address - Fax:802-329-2290
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0082264101YM0800X
VT151.0134215101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health