Provider Demographics
NPI:1144259714
Name:TREEM, RON STEPHEN (MA)
Entity type:Individual
Prefix:MR
First Name:RON
Middle Name:STEPHEN
Last Name:TREEM
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 MAIN ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05156-2963
Mailing Address - Country:US
Mailing Address - Phone:802-885-1904
Mailing Address - Fax:802-885-1905
Practice Address - Street 1:56 MAIN ST
Practice Address - Street 2:SUITE 212
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-2963
Practice Address - Country:US
Practice Address - Phone:802-885-1904
Practice Address - Fax:802-885-1905
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1007262Medicaid