Provider Demographics
NPI:1760659320
Name:COONS, HILARY WATTS (PHD)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:WATTS
Last Name:COONS
Suffix:
Gender:F
Credentials:PHD
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 706
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033-0706
Mailing Address - Country:US
Mailing Address - Phone:802-222-5798
Mailing Address - Fax:
Practice Address - Street 1:3458 SOUTH RD
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:VT
Practice Address - Zip Code:05033-8822
Practice Address - Country:US
Practice Address - Phone:022-225-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT489103T00000X
NH483103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist