Individual
EDWARD THORNDIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, AAP
Contact information
Practice address
56 OLD FARM RD, STOWE, VT 05672-4434
(802) 578-0184
Mailing address
4 WOOD RD, STOWE, VT 05672-5355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0112163
VT
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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