NPI 1184911497

Gaia Deering Ma, LLC

Organisation Psychologist Bennington, VT

Practice location

Address: 504a Main St Suite 5, Bennington, VT 05201-2111
Phone: (802) 681-7314
Fax: (802) 681-7314

Authorised official

Name: Gaia Deering
Title: Owner/Manager
Phone: (802) 681-7314

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 047-0000631 (VT)

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Registry record

NPI: 1184911497
Entity type: Organization
NPI issued: 7 Jul 2011
Record last updated: 7 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.