NPI 1083833859

Peter Lebenbaum

Practitioner Psychologist Middlebury, VT

Practice location

Address: 701 Munger St, Middlebury, VT 05753-8921
Phone: (802) 388-7830

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 048-0000235 (VT)

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Registry record

NPI: 1083833859
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2007
Record last updated: 8 Jul 2007

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.