Individual
MRS. HEIDI M. NOSTRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047-0000709
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009645
—
VT
05
—
30422617
—
NH
01
—
59344
BLUE CROSS BLUE SHIELD
VT
Enumeration date
04/27/2007
Last updated
12/18/2012
Update your record
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