Organization
GREEN MOUNTAIN BEHAVIORAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SCHUPP-STAR PA (OWNER/PHYSICIAN ASSISTANT)
(802) 230-1353
Entity
Organization
Contact information
Practice address
125 SAINT PAUL ST STE 103, BURLINGTON, VT 05401-8686
(802) 216-0727
(802) 633-0956
Mailing address
125 SAINT PAUL ST STE 103, BURLINGTON, VT 05401-8686
(802) 216-0727
(802) 633-0956
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
10/04/2023
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