| NPI | 1659700912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN S FALLIN Psychologist Master 802-651-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 047.0093667) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |