Individual
KAREN KAMENETZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 MAIN ST, SUITE 16, BRATTLEBORO, VT 05301-7128
(802) 254-6038
Mailing address
167 MAIN ST, SUITE 16, BRATTLEBORO, VT 05301-7128
(802) 254-6038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
47-0000461
VT
103T00000X
Psychologist
470000461
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002958
—
VT
01
—
6554
BLUE CROSS BLUE SHIELD
VT
Enumeration date
12/08/2006
Last updated
12/17/2015
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