Individual
MS. JUDY BERYL GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
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
Update your record
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