Individual
JEAN PIENIADZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3 MAIN ST STE 216, BURLINGTON, VT 05401-5216
(802) 863-9079
Mailing address
3 MAIN ST STE 216, BURLINGTON, VT 05401-5216
(802) 863-9079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
438
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100-2705
—
VT
Enumeration date
06/14/2007
Last updated
07/08/2007
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