Xander Lodge, Ma, Plc

NPI #1255053930 in Williston, Vermont

Provider Information

NPI Number
1255053930
Entity Type
Organization
Organization Name
Xander Lodge, Ma, Plc
Primary Specialty
Psychologist
Enumeration Date
Sep 19, 2022
Last Updated
Jun 17, 2024

Practice Location

Address
75 TALCOTT RD STE 30
State
Vermont
ZIP Code
05495-8122
Phone
(802) 503-2929

Authorized Official

Name
ALEXANDER LODGE, MA
Title
OWNER
Phone
(802) 503-2929

Specialties & Taxonomy Codes

Specialty
Psychologist

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