Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY MIREAULT, PH.D.
Active Sole ProprietorDR. JAY MIREAULT, PH.D. is a Psychologist healthcare provider located in WATERBURY CENTER, Vermont. NPI 1417980228 is currently active in the NPPES registry. Verify at CMS.
Psychologist · WATERBURY CENTER, VT
Registration Details
- NPI Number
- 1417980228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2006 (20.089903731839 yrs)
- Last Updated
- Jul 8, 2007
- License
-
048-0000296 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
852 MAGGIES WAYWATERBURY CENTER, VT, 056778034Browse VT providers · Browse ZIP 05677
- Phone
- 8022446146
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.