Individual
PAUL GIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
30 AIRPORT RD, S BURLINGTON, VT 05403-6432
(802) 658-3924
(802) 658-0216
Mailing address
30 AIRPORT RD, S BURLINGTON, VT 05403-6432
(802) 658-3924
(802) 658-0216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000718
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069123
BC BS PROVIDER NUMBER
VT
05
—
1011871
—
VT
Enumeration date
12/15/2006
Last updated
07/09/2007
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