Individual
MS. PAMELA PREBLE GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A.
Contact information
Practice address
187 SAINT PAUL ST, BURLINGTON, VT 05401-4689
(802) 651-7805
(802) 865-0534
Mailing address
187 SAINT PAUL ST, BURLINGTON, VT 05401-4689
(802) 651-7805
(802) 865-0534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
684
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006531
—
VT
Enumeration date
11/01/2006
Last updated
07/08/2007
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