Individual
DR. EDWARD GEORGE XIPPOLITOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7205 MAIN ST, SUITE #3, MANCHESTER CENTER, VT 05255-9312
(802) 366-9122
Mailing address
PO BOX 987, MANCHESTER CENTER, VT 05255-0987
(802) 366-9122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
002612
CT
103TC0700X
Clinical Psychologist
Primary
0859
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011379
—
VT
Enumeration date
10/03/2006
Last updated
07/08/2007
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