Individual
MS. JILL L. CRESWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
162 ELM ST, MONTPELIER, VT 05602-0000
(802) 223-6946
Mailing address
162 ELM ST, MONTPELIER, VT 05602-2896
(802) 223-6946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
47-0000571
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004004
—
VT
Enumeration date
02/21/2007
Last updated
01/31/2017
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