Phoenix Psychotherapy LLC
Psychologist in South Burlington, VT. Organization (NPI-2).
NPI number1114348166
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1114348166
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Psychotherapy LLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2013
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2051 | CO | Yes |
Practice location
595 Dorset St Ste 2South Burlington, VT 05403-6240
Phone 802-651-8999 · Fax 802-651-8997
Mailing address
Po Box 125Vergennes, VT 05491-0125
Phone 802-651-8999 · Fax 802-651-8997
Authorized official
Judith Vanderryn
Owner/Sole Proprietor
8026518999
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist providers in South Burlington, VT
- William Henry Farrell, PHDNPI 1760591333
- Sheryl A Foxman, M.A.NPI 1598712457
- Rachel M Garnett, MANPI 1578181681
- Robert Macy Goodman, M.A., M.S.NPI 1154418663
- Tyler James Gould, PHDNPI 1720150691
- Nancy M. Hodgkins, PSY.DNPI 1326139908
- Rachel KlingNPI 1720675259
- Amanda Martin, MANPI 1841156098
- Kristin MountNPI 1912552571
- Geraldine Oppedisano, PH.DNPI 1992916514
All 23 Psychologist providers in South Burlington · All 1,091 providers in South Burlington
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.