Individual
MS. JODIE LYN BISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15 PINECREST DR, ESSEX JUNCTION, VT 05452-2912
(802) 288-1087
(802) 878-4404
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000632
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005484
—
VT
Enumeration date
02/15/2006
Last updated
01/06/2015
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