Provider Demographics
NPI:1962064253
Name:DOYLE, NEERA (LCMHC, LADC)
Entity type:Individual
Prefix:
First Name:NEERA
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LCMHC, LADC
Other - Prefix:
Other - First Name:NEERA
Other - Middle Name:
Other - Last Name:B.K.
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:84 PINE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4441
Practice Address - Country:US
Practice Address - Phone:802-864-7423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty