Individual
KIRSTEN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST-MASTER
Contact information
Practice address
100 MAIN ST, BURLINGTON, VT 05401-8475
(802) 417-7392
Mailing address
316 FLYNN AVE APT 214, BURLINGTON, VT 05401-5194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047.0133714
VT
Other
Enumeration date
04/24/2023
Last updated
12/12/2024
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