Organization · Type 2 NPI

Phoenix Psychotherapy LLC

Psychologist · South Burlington, VT

NPI number 1114348166 Active

Practice location

595 Dorset St Ste 2
South Burlington, VT 05403-6240

Fax (802) 651-8997

Mailing address

PO Box 125
Vergennes, VT 05491-0125

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X2051 (CO)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1114348166

Phoenix Psychotherapy LLC's National Provider Identifier is 1114348166, issued on Dec 18, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in South Burlington, VT. The record was last updated on Dec 18, 2023.