Individual
DR. DEAN JM MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
167 NORTH MAIN ST., WALLINGFORD, VT 05773
(802) 446-3577
(802) 446-3801
Mailing address
167 NORTH MAIN ST., WALLINGFORD, VT 05773
(802) 446-3577
(802) 446-3801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
620
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022361
—
VT
Enumeration date
04/11/2007
Last updated
03/17/2014
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