Individual
REBECCA ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
113 SCHOOL ST, MANCHESTER CENTER, VT 05255-9370
(802) 362-0994
(802) 362-1867
Mailing address
113 SCHOOL ST, MANCHESTER CENTER, VT 05255-9370
(802) 362-0994
(802) 362-1867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480067579
VT
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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