Individual
STEPHANIE CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14 PARK PLACE, BRATTLEBORO, VT 05301
(802) 257-8687
(802) 451-1981
Mailing address
PO BOX2092, WESTBRATTLEBORO, VT 05303-2092
(802) 257-8687
(802) 451-1981
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
326
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005324
BCBS VT
VT
05
—
00005324
—
VT
Enumeration date
05/03/2007
Last updated
07/09/2007
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