Individual
NEILA A ANDERSON-DECELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
215 GLEN RD, NEWPORT, VT 05855-9777
(802) 334-7578
Mailing address
304 SIAS AVE, NEWPORT, VT 05855-5865
(802) 334-3178
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0470000727
VT
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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