NPI 1114348166

Phoenix Psychotherapy LLC

Organisation Psychologist South Burlington, VT

Practice location

Address: 595 Dorset St STE 2, South Burlington, VT 05403-6240
Phone: (802) 651-8999
Fax: (802) 651-8997
Mailing address: PO Box 125, Vergennes, VT 05491-0125

Authorised official

Name: Judith Vanderryn
Title: Owner/Sole Proprietor
Phone: (802) 651-8999

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2051 (CO)

Other Psychologist providers in Vermont →

Registry record

NPI: 1114348166
Entity type: Organization
NPI issued: 18 Dec 2013
Record last updated: 18 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.