| Doctor Name: | ANTHONY DEPAUL |
| NPI Number: | 1154579225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 068.0066612 |
| Business Practice Address: | 39 Church Street Hardwick, VT - 05843 |
| Business Phone Number: | 8024726694 |
| Business Fax Number: | |
| Mailing Address: | 1089 Campbell Rd, MORRISTOWN |
| State: | VT |
| Postal Code: | 056614481 |
| Phone Number: | 8023555550 |
| Fax Number: | 8028882244 |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068.0066612 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |