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General NPI Number Information
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NPI Number | 1629350194
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Entity Type | Individual
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Provider Name | MATTHEW PRICE PHD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2 COLCHESTER AVE THE BEHAVIOR THERAPY AND PSYCHOTHERAPY CENTER UNIVERSIT
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City | BURLINGTON
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State | VT
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Zip | 05405-1764
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Country | US
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Telephone | 802-656-2661
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Fax | 802-656-3485
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Provider Business Mailing Address
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Address Line | 324 MAIN ST 7G
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City | BURLINGTON
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State | VT
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Zip | 05405-1764
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Country | US
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Telephone | 646-360-0289
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Fax | 802-656-3485
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 048.009946
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1265
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022929
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License Number State | NY
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