| NPI | 1801255468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM GRUNDT Psychologist 802-683-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0093365) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |