Individual
DR. ELIZABETH SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 KENNEDY DR STE L8, SOUTH BURLINGTON, VT 05403-7165
(802) 860-1002
(802) 658-8494
Mailing address
1 KENNEDY DR STE L8, SOUTH BURLINGTON, VT 05403-7165
(802) 860-1002
(802) 658-8494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048-0000797
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009110
—
VT
01
—
59431
BLUE CROSS BLUE SHIELD ID
VT
Enumeration date
05/11/2007
Last updated
01/08/2016
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