Santosh Sangarasivam, LCMHC

NPI #1326160441 in Wilder, Vermont

Provider Information

NPI Number: 1326160441
Entity Type: Individual
Name: Santosh Sangarasivam, LCMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: LCMHC
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 205 BILLINGS FARM ROAD
Address 2: UNIT 1
City: Wilder
State: Vermont
ZIP Code: 05088
Phone: (603) 643-3882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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