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Individual

DR. CAROLYN BASILIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0000752
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008273
VT
01
23-7182584
COMMUNITY HEALTH CENTERS OF BURLINGTON
VT
01
58533
BLUE CROSS BLUE SHIELD
VT
01
785938
MVP
VT
Enumeration date
11/22/2006
Last updated
09/21/2021
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