Individual
DR. WILLIAM LAWTHER CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1085 US RTE 4E, STE 2A EASTRIDGE PROFESSIONAL BUILDING, RUTLAND, VT 05701
(802) 775-6331
(802) 775-6373
Mailing address
1085 US RTE 4E, STE 2A, RUTLAND, VT 05701
(802) 775-6331
(802) 775-6373
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000196
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006438
—
VT
01
—
41507
MVP
—
01
—
69861
CIGNA
—
Enumeration date
09/20/2006
Last updated
07/08/2007
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