Organization
DR. SHIRLEY OXIDINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY OXIDINE PSY.D. (PRESIDENT)
(802) 388-3202
Entity
Organization
Contact information
Practice address
10 MERCHANTS ROW, SUITE 215, MIDDLEBURY, VT 05753-1421
(802) 388-3202
(802) 654-7601
Mailing address
PO BOX 51, MIDDLEBURY, VT 05753-0051
(802) 388-3202
(802) 654-7601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048-000838
PSYCHOLOGIST
VT
05
—
1010656
—
VT
Enumeration date
10/26/2009
Last updated
10/26/2009
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