MEDICARE: MS. PAMELA PREBLE GUNDLACH M. A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	684	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568549343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA PREBLE GUNDLACH M. A.

Provider Business Mailing Address
First Line	:	187 SAINT PAUL ST
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-4689
Country	:	US
Telephone Number	:	802-651-7805
Fax Number	:	802-865-0534

Provider Business Practice Location Address
First Line	:	187 SAINT PAUL ST
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-4689
Country	:	US
Telephone Number	:	802-651-7805
Fax Number	:	802-865-0534

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1295744654 — MR. JOHN ROBERT GLEASON MS, LCMHC, LADC
Practice Location Address:

187 SAINT PAUL ST
BURLINGTON, VT
05401-4689

Practice Phone: 802-865-0534
Practice Fax: 802-865-0534

1982775763 — DR. DIANE T GOTTLIEB MSW, PH.D.
Practice Location Address:

187 SAINT PAUL ST , SUITE 2
BURLINGTON, VT
05401-4689

Practice Phone: 802-863-2495
Practice Fax: 802-865-0534

1285797290 — MRS. BARBARA KELLER LCMHC
Practice Location Address:

187 SAINT PAUL ST
BURLINGTON, VT
05401-4689

Practice Phone: 802-899-2967
Practice Fax: 802-865-0534

1952451650 — NETWORKS
Practice Location Address:

187 SAINT PAUL ST
BURLINGTON, VT
05401-4689

Practice Phone: 802-863-2495
Practice Fax:

1962553925 — MS. MARCIA D. MILTON LCMHC
Practice Location Address:

187 SAINT PAUL ST , SUITE 2
BURLINGTON, VT
05401-4689

Practice Phone: 802-863-2495
Practice Fax: 802-865-0534

1942349295 — AIDA LUCE LCMHC
Practice Location Address:

187 SAINT PAUL ST
BURLINGTON, VT
05401-4689

Practice Phone: 802-863-2495
Practice Fax:

Directions to “ MS. PAMELA PREBLE GUNDLACH M. A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.