Organization
WELLSPRING MULTIDISCIPLINARY HEALTH AND EDUCATION PROJECT INC
Active
Other names
Wellspring Mental Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A. MCGUIRE PH.D. (PRESIDENT)
(802) 472-6694
Entity
Organization
Contact information
Practice address
39 CHURCH ST., HARDWICK, VT 05843-0147
(802) 472-6694
(802) 472-6694
Mailing address
PO BOX 147, 39 CHURCH ST, HARDWICK, VT 05843-0147
(802) 472-6694
(802) 472-6694
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
VT 509
VT
103TA0700X
Adult Development & Aging Psychologist
VT 509
VT
103TB0200X
Cognitive & Behavioral Psychologist
VT 509
VT
103TC0700X
Clinical Psychologist
VT 509
VT
103TC1900X
Counseling Psychologist
VT 509
VT
103TC2200X
Clinical Child & Adolescent Psychologist
VT 509
VT
103TF0000X
Family Psychologist
VT 509
VT
103TF0200X
Forensic Psychologist
VT 509
VT
103TH0100X
Health Service Psychologist
VT 509
VT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
VT 509
VT
103TP2701X
Group Psychotherapy Psychologist
VT 509
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008971
—
VT
Enumeration date
05/23/2007
Last updated
04/29/2013
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