Individual
DR. CHRISTINE MARIE DIBLASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
27 RYE CIRCLE, SOUTH BURLINGTON, VT 05403-6209
(802) 654-7607
(802) 654-9155
Mailing address
27 RYE CIRCLE, SUITE 10, SOUTH BURLINGTON, VT 05403
(802) 654-7607
(802) 654-9155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
48-0000456
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002861
—
VT
Enumeration date
05/30/2006
Last updated
09/16/2016
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