Organization
MINDFUL SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PEZZULICH (OWNER)
(802) 442-3520
Entity
Organization
Contact information
Practice address
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201-1873
(802) 442-3520
Mailing address
157 COBBLE HL, SHAFTSBURY, VT 05262-9241
(802) 442-3520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000729
VT
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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