| NPI | 1770832750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TALLMADGE President 802-658-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |