Provider Demographics
NPI:1891485264
Name:VT PSYCHOTHERAPY ASSESSMENT & CONSULTATION SERVICES
Entity Type:Organization
Organization Name:VT PSYCHOTHERAPY ASSESSMENT & CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEIN-SENGHAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:802-793-8076
Mailing Address - Street 1:200 PARK ST
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-9098
Mailing Address - Country:US
Mailing Address - Phone:802-793-8076
Mailing Address - Fax:
Practice Address - Street 1:200 PARK ST
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-9098
Practice Address - Country:US
Practice Address - Phone:802-793-8076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty