Provider Demographics
NPI:1134264880
Name:VOLANSKY GERARD, SHARON ELAYNE (MA)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ELAYNE
Last Name:VOLANSKY GERARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:ELAYNE
Other - Last Name:VOLANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:90 BARROWS ROAD
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-4733
Mailing Address - Country:US
Mailing Address - Phone:802-253-4674
Mailing Address - Fax:
Practice Address - Street 1:515 MOSCOW ROAD
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:VT
Practice Address - Zip Code:05662
Practice Address - Country:US
Practice Address - Phone:802-253-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0470000398103T00000X
VT0260012806163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0009757Medicaid
VT1086657OtherCIGNA
VT00005387OtherBC BS
VT00005387OtherBC BS