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Individual

REX L FOREHAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
2 COLCHESTER AVE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Mailing address
2 COLCHESTER AVE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000820
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009876
VT
01
59550
BCBS
VT
Enumeration date
05/17/2006
Last updated
02/23/2017
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