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DR. CAROLYN RUSHFORD PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1922402940
Individual Registrant:DR. CAROLYN RUSHFORD PH.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
366 DORSET ST SUITE 10 S BURLINGTON, VT 05403-4479 US
Tel: 802-654-7607 Fax: --
Tel: 802-654-7607 Fax: --
Contact information for business:
366 DORSET ST SUITE 10 S BURLINGTON, VT 05403-4479 US
Tel: 802-654-7607 Fax: --
Tel: 802-654-7607 Fax: --
Registration Information:
NPI: 1922402940
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | VT | 048.0000469 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
