Individual
MR. ERIC PETER SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MACP
Contact information
Practice address
2 CHURCH STREET, BURLINGTON, VT 05401
(802) 863-1019
Mailing address
8 TOURIN RD, JERICHO, VT 05465
(802) 899-4443
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
397
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006015
—
VT
Enumeration date
02/21/2007
Last updated
07/08/2007
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