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General NPI Number Information
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NPI Number | 1851501530
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Entity Type | Organization
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Legal Business Name | WELLSPRING MULTIDISCIPLINARY HEALTH AND EDUCATION PROJECT INC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 39 CHURCH ST.
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City | HARDWICK
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State | VT
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Zip | 05843-0147
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Country | US
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Telephone | 802-472-6694
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Fax | 802-472-6694
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Provider Business Mailing Address
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Address Line | PO BOX 147 39 CHURCH ST
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City | HARDWICK
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State | VT
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Zip | 05843-0147
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Country | US
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Telephone | 802-472-6694
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Fax | 802-472-6694
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARGARET A. MCGUIRE
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Credential | PH.D.
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Telephone | 802-472-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | VT 509
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License Number State | VT
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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 | VT 509
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #6
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #7
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #8
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #9
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #10
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | VT 509
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License Number State | VT
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Taxonomy #11
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | VT 509
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License Number State | VT
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