Individual
JOHN X DOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. MA
Contact information
Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6555
(802) 524-6562
Mailing address
18 ADAMS ST, SAINT ALBANS, VT 05478-2135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047-0000730
VT
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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