Individual
DR. PAUL FOXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., INC.
Contact information
Practice address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 865-3450
Mailing address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000185
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006558
—
VT
Enumeration date
07/17/2006
Last updated
03/27/2018
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