| NPI | 1619050143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY SERRELL YOUNG Licensed Psychologist Doctorate 802-862-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 480000178) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-03-07 |