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Individual

DR. BARRY GUITAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
489 MAIN STREET, POMEROY HALL UNIVERSITY OF VERMONT, BURLINGTON, VT 05405-0130
(802) 656-3861
(802) 656-2528
Mailing address
489 MAIN STREET, POMEROY HALL UNIVERSITY OF VERMONT, BURLINGTON, VT 05405-0130
(802) 656-3861
(802) 656-2528

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00079533

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28349
BLUE CROSS BLUE SHIELD
01
66V013
MVP
Enumeration date
03/20/2007
Last updated
07/08/2007
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