| NPI | 1336451731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PARE Biller 802-773-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VT 0480000854) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |