Individual
MARYANN L NEUZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
3 MAIN ST, SUITE 107, BURLINGTON, VT 05401-5216
(802) 651-7528
Mailing address
53 MACHIA HILL RD, WESTFORD, VT 05494-9742
(802) 879-6220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047-0000677
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006514
—
VT
Enumeration date
03/06/2007
Last updated
07/08/2007
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