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Individual

DR. ALEXANDRA HARDING THOMSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, PATRICK 408, BURLINGTON, VT 05401-1473
(802) 847-0023
(802) 847-8961
Mailing address
1091 RIPLEY RD, WATERBURY CENTER, VT 05677-4406
(802) 244-1202

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000813
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008942
VT
01
391619
MVP
VT
01
58805
BCBS
VT
Enumeration date
07/31/2006
Last updated
07/08/2007
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