Individual provider · Type 1 NPI

Marissa Nicole Petersen-Coleman, PSYD.

Clinical Psychologist · Burlington, VT

NPI number 1528401759 Active

Practice location

111 Colchester Ave
Burlington, VT 05401

Call (802) 847-3634 Map

Mailing address

6020 Dawson Blvd, I
Norcross, GA 30093-1229

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPSY003680 (GA)
Clinical Psychologist Primary 103TC0700X048.0132241 (VT)

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 1528401759

Marissa Nicole Petersen-Coleman, PSYD.'s National Provider Identifier is 1528401759, issued on Apr 8, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Burlington, VT. The record was last updated on Aug 20, 2018.