Individual
CAROLYN E FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
67 MAIN ST, SUITE 42, BRATTLEBORO, VT 05301-3908
(802) 257-0146
Mailing address
67 MAIN ST, SUITE 42, BRATTLEBORO, VT 05301-3908
(802) 257-0146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
146
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002757
BLUE CROSS BLUE SHIELD
VT
05
—
2757
—
VT
01
—
41885
MVP
VT
Enumeration date
12/26/2006
Last updated
07/08/2007
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