Individual
MS. ELEANOR J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
289 MAIN STREET, THE BURTON HOUSE, NORWICH, VT 05055
(802) 649-2877
Mailing address
PO BOX 297, NORWICH, VT 05055-0297
(802) 649-2877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0470000548
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008448
—
VT
01
—
38813
BLUE CROSS BLUE SHIELD
VT
Enumeration date
09/06/2006
Last updated
07/08/2007
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