Individual
KAREN MARIE FONDACARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2 COLCHESTER AVE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Mailing address
2 COLCHESTER AVE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000390
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002226
—
VT
01
—
8721
BCBS
VT
Enumeration date
05/19/2006
Last updated
02/28/2017
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