| Psychotherapy Associates | |
|
90 Mahoney Ave Rutland VT 05701 | |
| (802) 775-2581 | |
| (802) 775-3395 |
| Full Name | Psychotherapy Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 90 Mahoney Ave, Rutland, Vermont |
| Authorized Official Name and Position | Albon J Coghlon (OWNER) |
| Authorized Official Contact | 8027752581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Associates 90 Mahoney Ave Rutland VT 05701 Ph: (802) 775-2581 | Psychotherapy Associates 90 Mahoney Ave Rutland VT 05701 Ph: (802) 775-2581 |
| NPI Number | 1104034529 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104034529 | NPI | - | NPPES |
| 0005085 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0680000177 (Vermont) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5324 (Vermont) | Primary |
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