Phoenix Psychotherapy LLC

NPI #1114348166 in South Burlington, Vermont

Provider Information

NPI Number: 1114348166
Entity Type: Organization
Organization Name: Phoenix Psychotherapy LLC
Primary Specialty: Psychologist
Enumeration Date: Dec 18, 2013
Last Updated: Dec 18, 2023

Practice Location

Address: 595 DORSET ST STE 2
City: South Burlington
State: Vermont
ZIP Code: 05403-6240
Phone: (802) 651-8999

Authorized Official

Name: JUDITH VANDERRYN, PH.D.
Title: OWNER/SOLE PROPRIETOR
Phone: (802) 651-8999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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