Provider Demographics
NPI:1740947654
Name:TOMASI, DAVID (DSC HC, PHD, EDD-PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:TOMASI
Suffix:
Gender:M
Credentials:DSC HC, PHD, EDD-PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STONE DR
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-5744
Mailing Address - Country:US
Mailing Address - Phone:802-659-0310
Mailing Address - Fax:
Practice Address - Street 1:1 LAWSON LN STE 200G
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-8445
Practice Address - Country:US
Practice Address - Phone:802-489-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-27
Last Update Date:2021-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0134190103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist