Doctor Name: | MIRIAM JUDITH VORAN |
NPI Number: | 1225078041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 798 |
Business Practice Address: | 79 Main St Montpelier, VT - 056022955 |
Business Phone Number: | 8022232134 |
Business Fax Number: | |
Mailing Address: | 19 Crafts Ave, WEST LEBANON |
State: | NH |
Postal Code: | 037841105 |
Phone Number: | 6032985485 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 798 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |