Individual
HEIDIE VAZQUEZ-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
3855 MAIN ST, MANCHESTER, VT 05254
(802) 367-1068
(802) 367-1069
Mailing address
PO BOX 804, MANCHESTER, VT 05254-0804
(401) 714-8774
(802) 367-1068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00992
RI
Other
Enumeration date
01/26/2007
Last updated
01/16/2014
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