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1588631543
SAMUEL DAVID STANDARD
BURLINGTON, VT
NPI
1588631543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: VT 0480000876)
Enumeration Date
2006-03-08
Last Update Date
2013-09-13
Business Address
Dr. SAMUEL DAVID STANDARD Ph.D.
111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401-1473
Phone number: 802-847-2794
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Mailing Address
Dr. SAMUEL DAVID STANDARD Ph.D.
22 WILSON ST
BURLINGTON, VT 05401-3351
Phone number: 802-864-0990
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