Maple Leaf Clinic PC
NPI #1851715635 in Wallingford, Vermont
Provider Information
- NPI Number
- 1851715635
- Entity Type
- Organization
- Organization Name
- Maple Leaf Clinic PC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 13, 2014
- Last Updated
- Feb 5, 2021
Practice Location
- Address
- 167 N MAIN ST
- City
- Wallingford
- State
- Vermont
- ZIP Code
- 05773-9800
- Phone
- (802) 446-3577
Authorized Official
- Name
- DEAN J MOONEY
- Title
- OWNER
- Phone
- (802) 446-3577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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