Individual
THOMAS VAUTRINOT
Active
Individual
THOMAS VAUTRINOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8510
MA
103TC0700X
Clinical Psychologist
Primary
8510
MA
103TC2200X
Clinical Child & Adolescent Psychologist
8510
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
8510
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18467
BLUE CROSS/BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
07/13/2006
Last updated
07/28/2010
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