Individual
ALLEN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Mailing address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
048-0000238
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002637
—
VT
Enumeration date
05/18/2006
Last updated
05/13/2009
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