| Dr. Shirley Oxidine, Pllc | |
|
10 Merchants Row Suite 215 Middlebury VT 05753-1421 | |
| (802) 388-3202 | |
| (802) 654-7601 |
| Full Name | Dr. Shirley Oxidine, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 10 Merchants Row, Middlebury, Vermont |
| Authorized Official Name and Position | Shirley Oxidine (PRESIDENT) |
| Authorized Official Contact | 8023883202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shirley Oxidine, Pllc Po Box 51 Middlebury VT 05753-0051 Ph: (802) 388-3202 | Dr. Shirley Oxidine, Pllc 10 Merchants Row Suite 215 Middlebury VT 05753-1421 Ph: (802) 388-3202 |
| NPI Number | 1508192584 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508192584 | NPI | - | NPPES |
| 048-000838 | Other | VT | PSYCHOLOGIST |
| 1010656 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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