NPI | 1528273414 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MCKENZIE President 802-295-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: VT 470000531) |
Additional Taxonomies | 103T00000X Psychologist (Licence: VT 470000531) |
103TA0700X Psychologist, Adult Development & Aging (Licence: VT 470000531) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: VT 470000531) | |
103TC0700X Psychologist, Clinical (Licence: VT 470000531) | |
103TC1900X Psychologist, Counseling (Licence: VT 470000531) | |
103TF0000X Psychologist, Family (Licence: VT 470000531) | |
103TP0814X Psychologist, Psychoanalysis (Licence: VT 470000531) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: VT 470000531) | |
106H00000X Marriage & Family Therapist (Licence: VT 470000531) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |