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Individual

KATHLEEN MCBETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
23 JONES BROTHERS WAY, BARRE, VT 05641-2527
(802) 479-4083
(802) 476-1476
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 479-4083
(802) 476-1476

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000721
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00069133
BC/BS OF VT
VT
05
1012341
VT
01
2273133
CIGNA
VT
Enumeration date
08/01/2006
Last updated
07/09/2007
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