St Johnsbury Psychology Associates, Pllc | |
1097 Main St St Johnsbury VT 05819-2646 | |
(802) 751-9347 | |
Not Available |
Full Name | St Johnsbury Psychology Associates, Pllc |
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Speciality | Psychologist - Clinical |
Location | 1097 Main St, St Johnsbury, Vermont |
Authorized Official Name and Position | Judith Markey (OWNER/MANAGER) |
Authorized Official Contact | 8027519347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Johnsbury Psychology Associates, Pllc Po Box 132 St Johnsbury VT 05819-0132 Ph: (802) 751-9347 | St Johnsbury Psychology Associates, Pllc 1097 Main St St Johnsbury VT 05819-2646 Ph: (802) 751-9347 |
NPI Number | 1831569862 |
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Provider Enumeration Date | 10/02/2015 |
Last Update Date | 11/29/2017 |
Identifier | Type | State | Issuer |
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1831569862 | NPI | - | NPPES |
0018468 | Other | MEDICARE PTAN | |
1017870 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 048.0052907 (Vermont) | Primary |
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