Glenna Smith Rousseau, PH.D.
Individual provider Active NPI Clinical Psychologist · White River Junction, VT
NPI 1841505286 · NPPES record last updated Oct 4, 2010
Key facts
- NPI
- 1841505286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 50 856 (MS)
- Practice address
- Vamc 116a
215 N. Main St
White River Junction, VT 05009-0001 - Phone
- (802) 295-9363
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50 856 | MS | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 50 856 | MS | Yes |
Addresses
Primary practice location
Vamc 116a
215 N. Main St
White River Junction, VT 05009-0001
Mailing address
21 Hazen St
White River Junction, VT 05001-8141
Phone (334) 329-9686
Other providers in White River Junction, VT
- Brooke Ann Robinson Drew
- Rebecca Eileen Robinson
- Alexandra Rojas
- Kimberley J Romack
- Alison Romegialli
- Rowan Counseling LLC
- Mary Ruffing
- Sarah Ruiz
- Mary Suzanne Russ
- Jennie Russell
All providers in White River Junction, VT · Clinical Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.