Individual
MS. GEORGIANA BIRMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
38 ELM ST, MONTPELIER, VT 05602-2995
(802) 229-9151
(802) 229-2508
Mailing address
PO BOX 627, MONTPELIER, VT 05601-0627
(802) 229-9151
(802) 229-2508
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0470000720
VT
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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