Doctor Name: | CAROL A LOEFFLER |
NPI Number: | 1306842125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 5201 |
Business Practice Address: | 82 Elm St Manchester Center, VT - 052559642 |
Business Phone Number: | 8028677035 |
Business Fax Number: | 8023671069 |
Mailing Address: | 82 Elm St, MANCHESTER CENTER |
State: | VT |
Postal Code: | 052559642 |
Phone Number: | 8028677035 |
Fax Number: | 8023671069 |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 5201 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |