Individual
MICHAEL BELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 999-4739
Mailing address
12 MCGREGOR ST, ESSEX JUNCTION, VT 05452-3740
(802) 999-4739
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047.0102160
VT
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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