Active NPIIndividual providerSole proprietor

Dr. Gillian Boudreau, PHD

Psychologist, Clinical in South Burlington, Vermont

NPI Number1386893683
Practice location
364 Dorset St, Suite 212, South Burlington, VT 05403-6270
Fax
—
Last updated
May 14, 2012

Gillian Boudreau is a Psychologist, Clinical based in South Burlington, VT. Gillian Boudreau practices in South Burlington, VT and has the professional credentials of PHD. The NPI Number for Gillian Boudreau is 1386893683 and holds a License No. 048.0072593 (VT). The current practice location address for Gillian Boudreau is 364 Dorset St, Suite 212, South Burlington, VT 05403-6270 and can be reached out via phone at 802-658-9440.

Provider Profile Details

NPI Number
1386893683
Provider Name
Gillian Boudreau
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
364 Dorset St, Suite 212, South Burlington, VT 05403-6270
Phone Number
802-658-9440
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2008
Last Update Date
May 14, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
364 Dorset St
Suite 212
South Burlington, VT 05403-6270
State
Vermont
Zip
05403-6270
Phone Number
802-658-9440
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
364 Dorset St
Suite 212
South Burlington, VT 05403-6270
City
South Burlington
State
VT
Zip
05403-6270

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (2)
Psychologist, School · 103TS0200X
License Number (3)
048.0072593
License State (3)
VT
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gillian Boudreau, PHD?

The NPI number of Dr. Gillian Boudreau, PHD is 1386893683. It was assigned on September 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Gillian Boudreau, PHD?

Dr. Gillian Boudreau, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 048.0072593.

Where does Dr. Gillian Boudreau, PHD practice?

The practice location is 364 Dorset St, Suite 212, South Burlington, VT 05403-6270. The office can be reached at 802-658-9440 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386893683 directly on the NPPES registry website.

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