Individual
DOUGLAS ALAN FLINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LICENSED PSYCHO
Contact information
Practice address
494 HIGHLAND AVE STE B, NEWPORT, VT 05855-4912
(802) 334-1795
(802) 334-1795
Mailing address
494 HIGHLAND AVE STE B, NEWPORT, VT 05855-4912
(802) 334-1795
(802) 334-1795
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
047-0000605
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008294
—
VT
Enumeration date
03/22/2007
Last updated
07/08/2007
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