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ADAM MATTHEW GRUNDT PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1144371972

Individual Registrant:
 ADAM MATTHEW GRUNDT PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
132 SOUTH MAIN STREET  HARDWICK, VT 05843 US
Tel: 802-683-7533  Fax: 763-559-0149

Contact information for business:
18 LOOMIS STREET #1 MONTPELIER, VT 05602 US
Tel: 763-509-3818  Fax: 763-559-0149

Registration Information:
NPI: 1144371972
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
MNLP4353
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
VT048.0093365

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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