Individual provider · Type 1 NPI

Alexander Lodge, MA

Psychologist · Williston, VT

NPI number 1720700404 Active

Practice location

75 Talcott Rd Ste 30
Williston, VT 05495-8122

Mailing address

629 Metcalf Dr
Williston, VT 05495-8802

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X047.0133699 (VT)
Psychologist Primary 103T00000X047.0133699 (VT)

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 1720700404

Alexander Lodge, MA's National Provider Identifier is 1720700404, issued on Sep 19, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Williston, VT. The record was last updated on Jan 29, 2024.