Individual
AUBREY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
048-0134163
VT
103TC0700X
Clinical Psychologist
Primary
048-0134163
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/18/2017
Last updated
03/05/2020
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