Individual
DR. WILLIAM HENRY FARRELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1233 SHELBURNE ROAD, SUITE 450, SOUTH BURLINGTON, VT 05403
(802) 863-4333
Mailing address
1233 SHELBURNE ROAD, SUITE 450, SOUTH BURLINGTON, VT 05403
(802) 863-4333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0480000264
VT
103T00000X
Psychologist
0645
NC
103T00000X
Psychologist
PY5922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002602
—
VT
Enumeration date
08/29/2006
Last updated
07/08/2007
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