Individual
DR. PAMELA JOAN KNEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
53 S MAIN ST, HANOVER, VT 05075
(603) 643-5253
Mailing address
53 S. MAIN ST., HANOVER, VT 05075
(603) 643-5253
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
388
NH
103TC0700X
Clinical Psychologist
587
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0608036YONH01
ANTHEM
NH
Enumeration date
02/27/2007
Last updated
02/23/2016
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