DR. Masha Y Ivanova, PHD
NPI #1700043759 in Burlington, Vermont
Provider Information
- NPI Number
- 1700043759
- Entity Type
- Individual
- Name
- DR. Masha Y Ivanova, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Credential
- PHD
- Enumeration Date
- May 19, 2008
- Last Updated
- May 19, 2008
Practice Location
- Address
- 1 SOUTH PROSPECT STREET
- Address 2
- UHC ST JOSEPHS WING 3RD FLOOR
- City
- Burlington
- State
- Vermont
- ZIP Code
- 05401
- Phone
- (802) 656-2796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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