DR. Jay Mireault, PH.D.

NPI #1417980228 in Waterbury Center, Vermont

Provider Information

NPI Number: 1417980228
Entity Type: Individual
Name: DR. Jay Mireault, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jul 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 852 MAGGIES WAY
City: Waterbury Center
State: Vermont
ZIP Code: 05677-8034
Phone: (802) 244-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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