Individual
ALEXANDRA WALTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
595 DORSET ST STE 4, SOUTH BURLINGTON, VT 05403-6240
(802) 343-0901
Mailing address
212 GILSON LN, NORTH FERRISBURGH, VT 05473-7084
(802) 343-0901
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047.0133694
VT
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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