Alexander Lodge, MA

NPI #1720700404 in Williston, Vermont

Provider Information

NPI Number: 1720700404
Entity Type: Individual
Name: Alexander Lodge, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: MA
Enumeration Date: Sep 19, 2022
Last Updated: Jan 29, 2024

Practice Location

Address: 75 TALCOTT RD STE 30
City: Williston
State: Vermont
ZIP Code: 05495-8122
Phone: (802) 503-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X	Primary

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