Gaia Deering Ma, Llc | |
504a Main St Suite 5 Bennington VT 05201-2111 | |
(802) 681-7314 | |
(802) 681-7314 |
Full Name | Gaia Deering Ma, Llc |
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Speciality | Psychologist |
Location | 504a Main St, Bennington, Vermont |
Authorized Official Name and Position | Gaia Deering (OWNER/MANAGER) |
Authorized Official Contact | 8026817314 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gaia Deering Ma, Llc 504a Main St Suite 5 Bennington VT 05201-2111 Ph: (802) 681-7314 | Gaia Deering Ma, Llc 504a Main St Suite 5 Bennington VT 05201-2111 Ph: (802) 681-7314 |
NPI Number | 1184911497 |
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Provider Enumeration Date | 07/07/2011 |
Last Update Date | 07/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184911497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 047-0000631 (Vermont) | Primary |
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