NPI | 1508894288 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS PROPP President 802-442-3520 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
103G00000X Clinical Neuropsychologist | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
103T00000X Psychologist | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2020-08-22 |