Individual
KAREN LEE GILLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
115 ETNA RD, BUILDING 1, SUITE 2, LEBANON, NH 03766-1429
(603) 448-3588
(603) 448-3583
Mailing address
PO BOX 769, WHITE RIVER JUNCTION, VT 05001-0769
(603) 448-3588
(603) 448-3583
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
943
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008149
MEDICAID
VT
05
—
30421560
—
NH
Enumeration date
12/01/2006
Last updated
03/31/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us