Individual
STEPHEN B CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
67 MAIN ST, SUITE #33, BRATTLEBORO, VT 05301-3908
(802) 257-1062
Mailing address
67 MAIN ST, SUITE #33, BRATTLEBORO, VT 05301-3908
(802) 257-1062
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000120
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002758
BLUECROSSBLUESHIELD
VT
05
—
0002758
—
VT
01
—
025079
VALUEOPTIONS,INC
—
01
—
1032745
CIGNA
—
05
—
30009114
—
NH
01
—
41506
MVP
—
Enumeration date
02/04/2007
Last updated
07/08/2007
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