Individual
DR. TERESA CANAL MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5138 SHELBURNE RD, SHELBURNE, VT 05482-6698
(802) 985-8202
Mailing address
88 OLDE ORCHARD LN, SHELBURNE, VT 05482-6769
(802) 985-8202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
495
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005903
—
VT
Enumeration date
08/05/2006
Last updated
05/03/2010
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