Individual
MS. GERDA LENSELINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
535
NH
103TC0700X
Clinical Psychologist
047-0000670
VT
103TC0700X
Clinical Psychologist
Primary
047.0000670
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020176
—
VT
Enumeration date
10/11/2006
Last updated
01/17/2014
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