Organization
VERMONT EDUCATIONAL SUPPORT ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOYCE ANNE CUNNINGHAM EDD (PRESIDENT)
(802) 775-6331
Entity
Organization
Contact information
Practice address
1085 US ROUTE 4 E, SUITE 2A, RUTLAND, VT 05701
(802) 775-6331
(802) 775-6373
Mailing address
1085 US ROUTE 4, SUITE 2A, RUTLAND, VT 05701
(802) 775-6331
(802) 775-6373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
196
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6565
—
VT
Enumeration date
04/23/2013
Last updated
04/23/2013
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