NPI 1053482638

Jeremy Dixon Birch, PHD

Practitioner Psychologist Brattleboro, VT

Practice location

Address: 73 Main St, Brattleboro, VT 05301-3909
Phone: (802) 257-9468
Mailing address: 136 Birch Ln, Putney, VT 05346-9392

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 048-0000049 (VT)

Other Psychologist providers in Vermont →

Registry record

NPI: 1053482638
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2006
Record last updated: 8 Jul 2007

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.