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NPI Code Detail

MEDICARE: WILLIAM HOSMER PH.D.

MEDICARE:   WILLIAM  HOSMER  PH.D.
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
1103TS0200XSchool PsychologistVT

General Provider Information

NPI Number : 1235879883
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM HOSMER PH.D.
Provider Business Mailing Address
First Line : 74 PLEASANT STREET
Second Line :
City : SOUTH RYEGATE
State : VT
Zip : 05069
Country : US
Telephone Number : 802-584-3696
Fax Number :
Provider Business Practice Location Address
First Line : 74 PLEASANT STREET
Second Line :
City : SOUTH RYEGATE
State : VT
Zip : 05069
Country : US
Telephone Number : 802-584-3696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2022
Last Update Date : 07/21/2022

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