NPI | 1083867287 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL FOXMAN President 802-865-3450 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 0480000185) |
Enumeration Date | 2008-10-31 |
Last Update Date | 2018-04-26 |