Provider Demographics
NPI:1962200691
Name:DAVID CONTRADA, PLC
Entity type:Organization
Organization Name:DAVID CONTRADA, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-595-0524
Mailing Address - Street 1:1226 BLISS RD
Mailing Address - Street 2:
Mailing Address - City:EAST MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05651-4168
Mailing Address - Country:US
Mailing Address - Phone:802-595-0524
Mailing Address - Fax:
Practice Address - Street 1:100 E STATE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3112
Practice Address - Country:US
Practice Address - Phone:802-585-2089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty