| NPI | 1356579775 |
|---|---|
| Former Legal Business Name | RICHARD W. ROOT II DBA TWIN STATE PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | RICHARD W. ROOT Owner 802-885-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2016-09-13 |