Individual
MR. THEODORE MYOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
300 PEARL ST, BURLINGTON, VT 05401-8531
(802) 658-4200
Mailing address
300 PEARL ST, BURLINGTON, VT 05401-8531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8041659
VT
Other
Enumeration date
11/25/2015
Last updated
01/04/2016
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