Individual
DR. BRUCE JEFFREY CHALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000627
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004950
—
VT
01
—
1049972
CIGNA PROVIDER #
—
01
—
28080
BLUE CROSS/BLUE SHIELD
VT
01
—
958272
MVP PROVIDER NUMBER
VT
Enumeration date
04/09/2006
Last updated
04/20/2016
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