Individual
GAIL LYNN ISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1233 SHELBURNE RD, SUITE 120, SOUTH BURLINGTON, VT 05403-7700
(802) 236-1675
Mailing address
PO BOX 948, MIDDLEBURY, VT 05753-0948
(802) 236-1675
(802) 462-2253
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0480000629
VT
103TC0700X
Clinical Psychologist
0480000629
VT
Other
Enumeration date
05/29/2009
Last updated
09/10/2009
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