Peter Hathaway, LADC

NPI 1407156318 · on the registry since 2010

Practice

Address: 135 Granger St
Rutland, VT 05701
Phone: (802) 747-3588
Fax: (802) 775-7196
Organisation at this address: Vermont Physicians Clinic Dba Lee Emerson
Forensic Consultation & Counseling Service
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: VT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont