Provider Demographics
NPI:1730246323
Name:DUMAS, CLAIRE M (PSY D)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:M
Last Name:DUMAS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05667
Mailing Address - Country:US
Mailing Address - Phone:802-223-0275
Mailing Address - Fax:
Practice Address - Street 1:79 MAIN ST
Practice Address - Street 2:SUITE 10
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602
Practice Address - Country:US
Practice Address - Phone:802-223-0275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0480000490103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT06228715OtherBX BS
VTOVN1314Medicaid
VTOVN1314Medicaid