Individual
DOUGLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST MA
Contact information
Practice address
180 FOOTE ST, MIDDLEBURY, VT 05753-2018
(802) 578-7284
Mailing address
180 FOOTE ST, MIDDLEBURY, VT 05753-2018
(802) 578-7284
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
470000270
VT
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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