Individual
MS. AVA S ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MAIN ST, SUITE 107, BURLINGTON, VT 05401-5216
(802) 651-7527
Mailing address
PO BOX 326, CHARLOTTE, VT 05445-0326
(802) 651-7527
(802) 863-2170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470000624
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005140
—
VT
Enumeration date
04/18/2007
Last updated
07/08/2007
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