| NPI | 1417720244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM SNYDER Office/Psychometrist 802-876-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-12-21 |