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Individual

KRISTEN MUNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201-1873
(802) 442-3520
Mailing address
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201-1873
(802) 442-3520

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
048-0077088
VT
103TC0700X
Clinical Psychologist
Primary
048-0077088
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019679
VT
Enumeration date
12/15/2009
Last updated
01/07/2013
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