Individual
EDWARD SBARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 LINDEN ST, BRATTLEBORO, VT 05301-4807
(802) 257-7785
Mailing address
159 BEAVER POND RD, DUMMERSTON, VT 05301-8878
(802) 254-4116
(802) 258-3791
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
042-0007661
VT
2084P0800X
Psychiatry Physician
Primary
042-0007661
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009886
—
VT
Enumeration date
11/01/2006
Last updated
05/13/2009
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