Individual provider · Type 1 NPI

Mark J. Detzer, PhD

Clinical Psychologist · White River Junction, VT

NPI number 1215032214 Active

Practice location

85 N Main St, Suite 200
White River Junction, VT 05001-7134

Call (802) 299-6498 Map

Fax (888) 972-1623

Mailing address

PO Box 712
White River Junction, VT 05001-0712

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X854 (NH)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1215032214

Mark J. Detzer, PhD's National Provider Identifier is 1215032214, issued on Sep 14, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in White River Junction, VT. The record was last updated on Oct 4, 2013.