Individual
DR. PAUL LOUIS CANDIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
145 PINE HAVEN SHORES RD, SUITE 2032, SHELBURNE, VT 05482-7703
(802) 864-4513
(802) 985-5061
Mailing address
145 PINE HAVEN SHORES RD, SUITE 2032, SHELBURNE, VT 05482-7703
(802) 864-4513
(802) 985-5061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000412
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002636
—
VT
Enumeration date
09/25/2006
Last updated
07/08/2007
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