Organization
ADAM GRUNDT PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM GRUNDT PHD (PSYCHOLOGIST)
(802) 683-7533
Entity
Organization
Contact information
Practice address
300 MAIN ST, UNIT 2, BURLINGTON, VT 05401-8330
(802) 683-7533
Mailing address
300 MAIN ST, UNIT 2, BURLINGTON, VT 05401-8330
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0093365
VT
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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