Individual
MS. BETH ANNE WERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
145 PINE HAVEN SHORES RD, SUITE 2032, SHELBURNE, VT 05482-7703
(802) 864-4513
Mailing address
417 PETTINGILL RD, ESSEX JUNCTION, VT 05452-2669
(802) 864-4513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047-0000639
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006526
—
VT
Enumeration date
08/31/2006
Last updated
07/09/2007
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