Individual
DR. PATRICIA HIMI SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
79 MAIN ST, SUITE 2, MONTPELIER, VT 05602-3173
(802) 321-0303
Mailing address
1 HOPKINS ST, MONTPELIER, VT 05602-2137
(802) 839-6383
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0066873
VT
Other
Enumeration date
04/22/2011
Last updated
04/18/2012
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