| Doctor Name: | DR. ANN LOUISE VANDERMAELEN |
| NPI Number: | 1003845546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 000901 |
| Business Practice Address: | 191 Main St Suite 2 Old Saybrook, CT - 064752332 |
| Business Phone Number: | 8603883844 |
| Business Fax Number: | 8603881689 |
| Mailing Address: | 72 Olde Orchard Rd, CLINTON |
| State: | CT |
| Postal Code: | 064131100 |
| Phone Number: | 8606693466 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 000901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |