| NPI | 1871119412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MARIE DUFFY REINCKE Clinical Psychologist 802-735-7934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |