Provider Demographics
NPI:1497931992
Name:VERMONT PSYCHOLOGICAL SOLUTIONS, PLC
Entity Type:Organization
Organization Name:VERMONT PSYCHOLOGICAL SOLUTIONS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST-DOCTORATE/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HODGKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:802-862-0880
Mailing Address - Street 1:1 KENNEDY DR STE U8
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7166
Mailing Address - Country:US
Mailing Address - Phone:802-862-0880
Mailing Address - Fax:802-862-0880
Practice Address - Street 1:1 KENNEDY DR STE U8
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7166
Practice Address - Country:US
Practice Address - Phone:802-862-0880
Practice Address - Fax:802-862-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT804103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty