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Individual

DR. GILLIAN BOUDREAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
Primary
048.0072593
VT
103TS0200X
School Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12350163
CAQH
Enumeration date
09/11/2008
Last updated
05/14/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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