Individual
DR. LINDA VIETH ROSENBLAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5224 SHELBURNE RD, SHELBURNE, VT 05482-6621
(802) 598-9265
Mailing address
PO BOX 772, SHELBURNE, VT 05482-0772
(802) 598-9265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000815
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009437
—
VT
Enumeration date
11/17/2005
Last updated
07/08/2007
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