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Individual

DR. DONALD RAY FERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
46 GROUSE LN, DORSET, VT 05251-9608
(802) 867-4469
(802) 867-4469
Mailing address
46 GROUSE LN, DORSET, VT 05251-9608
(802) 867-4469
(802) 867-4469

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
0000215
VT
103TP0814X
Psychoanalysis Psychologist
0000216
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000215
VERMONT STATE LICENSE
VT
01
0000216
NEW YORK STATE LICENSE
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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