Individual
MICHAEL ROBERT DORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
11 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-1398
(802) 775-5196
Mailing address
11 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-1398
(802) 775-5196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470081038
VT
Other
Enumeration date
01/20/2013
Last updated
01/20/2013
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