Individual
BARRY P NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST - MA
Contact information
Practice address
51 FAIRVIEW ST, BRATTLEBORO, VT 05301-6629
(802) 254-6028
(802) 254-7501
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4567
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047 0000479
VT
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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