Organization
ANISE PSYCHOLOGICAL SERVICES VERMONT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRA R LOURIA PSYD (PSYCHOLOGIST)
(802) 552-0619
Entity
Organization
Contact information
Practice address
250 MAIN ST STE 206, MONTPELIER, VT 05602-4257
(802) 552-0619
Mailing address
250 MAIN ST STE 206, MONTPELIER, VT 05602-4257
(802) 552-0619
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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