| Doctor Name: | DR. ALFRED J TOMASELLI |
| NPI Number: | 1780836023 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., D.PHIL. |
| License Number: | 068-0000398 |
| Business Practice Address: | 142 Cornerstone Lane Lyndonville, VT - 05851 |
| Business Phone Number: | 8026265620 |
| Business Fax Number: | |
| Mailing Address: | 112 Norrie Dr, EAST BURKE |
| State: | VT |
| Postal Code: | 058329767 |
| Phone Number: | 8026265433 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2008 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068-0000398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |