Individual
SAMANTHA BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
183 TALCOTT RD, SUITE 206, WILLISTON, VT 05495-2089
(802) 881-6195
Mailing address
PO BOX 953, RICHMOND, VT 05477-0953
(802) 881-6195
(802) 881-6195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0480000926
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015547
—
VT
01
—
11883762
CAQH
VT
Enumeration date
03/03/2007
Last updated
07/26/2016
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