Provider Demographics
NPI:1144348715
Name:RICHARDS, ALISSON L (MD)
Entity type:Individual
Prefix:DR
First Name:ALISSON
Middle Name:L
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:VT
Mailing Address - Zip Code:05465-0423
Mailing Address - Country:US
Mailing Address - Phone:802-232-2672
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 423
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:VT
Practice Address - Zip Code:05465-0423
Practice Address - Country:US
Practice Address - Phone:802-232-2672
Practice Address - Fax:802-404-9879
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-00119992084P0804X
VT042.00119992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry