Individual
DR. JOESPH M. PUMILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
139 MAIN ST, SUITE 606A, BRATTLEBORO, VT 05301-3040
(802) 254-9922
Mailing address
139 MAIN ST, SUITE 606A, BRATTLEBORO, VT 05301-3040
(802) 254-9922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048-0000666
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012444
—
VT
01
—
1043369
CIGNA
VT
01
—
112916
TEAMSTER
VT
01
—
28910
BLUE CROSS-BLUESHIELD
VT
01
—
292576
MBC
VT
01
—
7583185
AETNA
VT
Enumeration date
02/09/2007
Last updated
07/08/2007
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