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DR. OWEN W DRUDGE PH.D.

Clinical Neuropsychologist

Colchester, Vermont

Provider NPI: 1669486080

Provider Information:
DR. OWEN W DRUDGE PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
790 COLLEGE PKWY  COLCHESTER, VT 05446 US
Tel: 802-847-4378  Fax: 802-847-8899

Business Mailing Address:
790 COLLEGE PKWY  COLCHESTER, VT 05446 US
Tel: 802-847-4378  Fax: 802-847-8899

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VT048-0000672

Other Provider Identifiers:

IssuerNumberStateType
OVN1456VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS VT - Page 1



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