Individual
DR. BONNIE W. IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYA. D.
Contact information
Practice address
331 UPPER PLAIN, BRADFORD MEDICAL CENTER, BRADFORD, VT 05033
(802) 222-5155
Mailing address
P.O. BOX 5, THETFORD, VT 05074
(802) 785-4581
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
098.0133628
VT
Other
Enumeration date
10/05/2015
Last updated
12/28/2019
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