Individual
ROSE BARAN COLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401-1473
(802) 847-8400
(802) 847-5618
Mailing address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401-1473
(802) 847-8400
(802) 847-5618
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
013631-1
NY
103TC0700X
Clinical Psychologist
Primary
048.0000039
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6520
—
VT
Enumeration date
12/12/2012
Last updated
12/12/2012
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