| NPI | 1225491244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. RICHARDS-BRADT Licensed Psychologist Master 802-497-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 047.0098988) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |