| Green Mountain Psychological Associates, P.c. | |
|
79 Court St Middlebury VT 05753-1406 | |
| (802) 353-6580 | |
| Not Available |
| Full Name | Green Mountain Psychological Associates, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 79 Court St, Middlebury, Vermont |
| Authorized Official Name and Position | Danielle Rae Bergeron Ingram (CEO) |
| Authorized Official Contact | 8023536580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Psychological Associates, P.c. 93 Court St # A Middlebury VT 05753-4423 Ph: (802) 353-6580 | Green Mountain Psychological Associates, P.c. 79 Court St Middlebury VT 05753-1406 Ph: (802) 353-6580 |
| NPI Number | 1053868976 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053868976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0470111914 (Vermont) | Primary |
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