| 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 |