NPI | 1336767755 |
---|---|
Other Name | GREEN MOUNTAIN PSYCHOLOGY PLLC |
Entity Type | Organization |
Authorized Contact | ELIZABETH DC TAYLOR Owner Psychologist 802-989-1274 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |