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Individual

MR. NEIL ALLEN JEPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0470000715
VT
103TC0700X
Clinical Psychologist
047000715
VT
103TH0100X
Health Service Psychologist
0470000715
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010983
VT
Enumeration date
08/14/2006
Last updated
04/19/2023
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