Individual
DR. SAMUEL DAVID STANDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401-1473
(802) 847-2794
Mailing address
22 WILSON ST, BURLINGTON, VT 05401-3351
(802) 864-0990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0480000876
VT
Other
Enumeration date
03/08/2006
Last updated
09/13/2013
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