Individual
DR. LAURA ANNE BASILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
135 S PLEASANT ST, MIDDLEBURY, VT 05753-1479
(802) 989-8976
Mailing address
239 CIDER MILL RD, CORNWALL, VT 05753-8675
(802) 989-8976
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
#863
VT
103TF0000X
Family Psychologist
#863
VT
103TH0004X
Health Psychologist
Primary
#863
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069001
VALUE OPTIONS
VA
05
—
1012427
—
VT
01
—
4149537
MVP HEALTH CARE
VT
Enumeration date
04/05/2007
Last updated
09/11/2025
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