Individual
GAIA ANNE DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST-MASTER
Contact information
Practice address
504A MAIN ST, SUITE 5, BENNINGTON, VT 05201-2111
(802) 681-7314
Mailing address
504A MAIN ST, SUITE 5, BENNINGTON, VT 05201-2111
(802) 681-7314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4539
MA
103T00000X
Psychologist
Primary
047-0000631
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31738
HEALTH NEW ENGLAND
MA
Enumeration date
11/14/2006
Last updated
07/11/2011
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