Individual
KRISTIN GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
19 COURT ST, MONTPELIER, VT 05602-2812
(802) 223-6564
Mailing address
19 COURT ST, MONTPELIER, VT 05602-2812
(802) 223-6564
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000019
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002853
—
VT
Enumeration date
12/12/2006
Last updated
11/17/2008
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