Individual
LAUREN WENDALL SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
097-0135841
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/11/2021
Last updated
06/11/2024
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