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Organization

MATRIX HEALTH SYSTEMS P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID FASSLER M.D. (CLINICAL DIRECTOR)
(802) 865-3450
Entity
Organization

Contact information

Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02112352
NY
05
OVN1732
VT
Enumeration date
05/25/2006
Last updated
11/21/2014
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