DR. GILLIAN BOUDREAU


Address: 364 Dorset St, Suite 212, South Burlington, VT 05403-6270
Phone: 8026589440

DR. GILLIAN BOUDREAU (NPI# 1386893683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386893683
Entity Type Individual
Full Name DR. GILLIAN BOUDREAU
Credential PH.D.
Practice Address 364 Dorset St
Suite 212
South Burlington
VT 05403-6270
Practice Telephone 8026589440
Enumeration Date 2008-09-11
Last Update Date 2012-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
048.0072593 VT Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 12350163 01

Office Location

Street Address 364 DORSET ST
SUITE 212
City SOUTH BURLINGTON
State VT
Zip Code 05403-6270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386609253 Champlain Valley Cardiovascular Associates, PC Internal Medicine 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 2006-04-20
1194093336 Christopher Wright Cronin Counselor 364 Dorset St, 204, South Burlington, VT 05403-6270 2011-12-02
1497078695 Vermont Center for Integrative Therapy, LLC Psychologist 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 2010-03-03
1740460740 Anne M Goldman Social Worker 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 2007-11-07
1225221351 Robert D Gordon Md Professional Corp Dermatology 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 2007-08-22
1275632267 Joseph F Winget Specialist 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 2006-09-22
1831207166 Candis Joan Cousins Physician Assistant 364 Dorset St, Ste 2, South Burlington, VT 05403-6270 2006-08-28
1821056912 Steffen Hillemann Specialist 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 2006-05-01
1922066026 Walter D Gundel Specialist 364 Dorset St, Suite1, South Burlington, VT 05403-6270 2006-05-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659938975 Josee-ann Guay Student in an Organized Health Care Education/Training Program 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 2019-05-22
1821556390 Alexander Taite Carpenter Specialist/Technologist 2069 Williston Road Ap #2, South Burlington, VT 05403 2019-03-04
1144732785 Molly Koch Parker Dietitian, Registered 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 2017-11-03
1497273007 Marlena Anya Pecora Acupuncturist 368 Dorset St # 3, South Burlington, VT 05403 2017-09-03
1467908525 Rinaben P Patel Pharmacist 39 Hinesburd Road, South Burlington, VT 05403 2016-08-29
1770949950 Tara Flor Chiropractor 30 Farrell St Ste 100, South Burlington, VT 05403 2016-01-04
1356716187 Frank Breen Counselor 163 Hinesburg Road, South Burlington, VT 05403 2015-12-04
1063808210 Lisa C Harrington Registered Nurse Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 2015-04-14
1083018626 Jessica Jablonski Speech-Language Pathologist 2 Baldwin Ave, South Burlington, VT 05403 2014-10-10
1538590567 Vasta Physical Therapy, Inc Physical Therapist 340 Dorset Street, Suite 2, South Burlington, VT 05403 2013-12-02
Find all providers in zip 05403

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952799694 Lisa M. Stephen Ph.d., PC Psychologist 89 Rye Cir Ste 1, South Burlington, VT 05403-7632 2015-01-05
1760756381 Miriam Dena London Psychologist 69 Joy Dr Apt E3, South Burlington, VT 05403-6124 2012-02-29
1457413593 Elena Marie Ramirez Psychologist 595 Dorset St, Ste 2, South Burlington, VT 05403-6240 2006-12-14
1982667275 Bruce Jeffrey Chalmer Psychologist 27 Rye Circle, South Burlington, VT 05403 2006-04-09
1629541883 Genna Durante, Ph.d., Pllc Psychologist 27 Rye Cir, South Burlington, VT 05403-7632 2019-01-09
1922552207 Kaitlin Irene Zura Psychologist 3000 Williston Rd, Suite 2, South Burlington, VT 05403-6082 2016-08-04
1225491244 Michael J. Richards-bradt, LLC Psychologist 1233 Shelburne Rd Ste 360, South Burlington, VT 05403-7752 2016-03-29
1609231638 Michael James Richards-bradt Psychologist 1233 Shelburne Rd Ste 360, South Burlington, VT 05403-7752 2015-12-17
1053647693 Heather Lynch Psychologist 34 Patchen Rd, South Burlington, VT 05403-5704 2009-11-01
1093990632 Lindsay Bennigson Jernigan Psychologist 185 Tilley Dr, Suite 14, South Burlington, VT 05403-4484 2008-01-02
Find all providers in SOUTH BURLINGTON

Competitor

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City SOUTH BURLINGTON
Zip Code 05403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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