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Individual

MS. JUDY BERYL GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
167 MAIN ST, BRATTLEBORO, VT 05301-7128
(802) 254-7395
Mailing address
PO BOX 6372, BRATTLEBORO, VT 05302-6372
(802) 254-7395

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
417
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004848
VT
01
6007
BLUE CROSS BLUE SHIELD
VT
Enumeration date
08/14/2007
Last updated
08/14/2007
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