Matrix Health Systems P.c.

NPI 1104872712 - Psychologist - 103TC0700X

NPI Details
NPI 1104872712
Enumeration Date 05/25/2006
Last Updated 11/21/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID DAVID
Position CLINICAL DIRECTOR
Phone (802) 865-3450
Fax (802) 860-5011
Practice Location
86 LAKE ST
BURLINGTON VT, 05401-5297, US
Phone (802) 865-3450
Fax (802) 860-5011
Business Location
86 LAKE ST
BURLINGTON VT, 05401-5297, US
Phone (802) 865-3450
Fax (802) 860-5011
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Matrix Health Systems P.c. NPI is 1104872712, taxonomy code is 103TC0700X Matrix Health Systems P.c. physically located at 86 Lake St, Burlington VT, 05401-5297. NPI Number 1033115704 has the healthcare provider type.

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1104872712 NPI number is provided on an as is basis without warranty of any kind. 1104872712 is maintained by the National Plan & Provider Enumeration System. The contents of Matrix Health Systems P.c. are for informational purposes only.