Organization
C. EMMA BURROUS, PH.D., PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. EMMA BURROUS PH.D. (OWNER)
(802) 657-4042
Entity
Organization
Contact information
Practice address
118 PINE ST, BURLINGTON, VT 05401-8421
(802) 657-4042
(802) 862-4062
Mailing address
118 PINE ST, BURLINGTON, VT 05401-8421
(802) 657-4042
(802) 862-4062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000905
VT
Other
Enumeration date
08/05/2012
Last updated
08/05/2012
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