| Vermont Psychological Services: Leitenberg Center For Evidence-based P | |
|
2 Colchester Avenue Burlington VT 05405-1764 | |
| (802) 656-2661 | |
| (802) 656-3485 |
| Full Name | Vermont Psychological Services: Leitenberg Center For Evidence-based P |
|---|---|
| Speciality | Psychologist |
| Location | 2 Colchester Avenue, Burlington, Vermont |
| Authorized Official Name and Position | Kathleen B. Kennedy (ACTING DIRECTOR) |
| Authorized Official Contact | 8026562661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vermont Psychological Services: Leitenberg Center For Evidence-based P 2 Colchester Avenue Burlington VT 05405-1764 Ph: (802) 656-2661 | Vermont Psychological Services: Leitenberg Center For Evidence-based P 2 Colchester Avenue Burlington VT 05405-1764 Ph: (802) 656-2661 |
| NPI Number | 1598837593 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 02/03/2017 |
| Medicare PECOS PAC ID | 0244277333 |
|---|---|
| Medicare Enrollment ID | O20050411000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598837593 | NPI | - | NPPES |
| 2820 | Other | VT | BCBS OF VT |
| 2820 | Other | VT | BCBS |
| 0002820 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lee D Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396796439 PECOS PAC ID: 2668482373 Enrollment ID: I20060426000067 |
| Provider Name | Lauren M Dewey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124337837 PECOS PAC ID: 1456686625 Enrollment ID: I20190710001272 |
Natalie Zimmer Counseling, Lcmhc, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 92 Adams St, Burlington, VT 05401 Phone: 802-734-8757 | |
C. Emma Burrous, Ph.d., Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Pine St, Burlington, VT 05401 Phone: 802-657-4042 Fax: 802-862-4062 | |
Distancetherapy.com Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Mansfield Ave Apt 201, Burlington, VT 05401 Phone: 802-448-3954 | |
F J Losch Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Pine St, Burlington, VT 05401 Phone: 802-448-4226 | |
Justin Dragos Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 College St, Burlington, VT 05401 Phone: 802-233-8495 | |
Neurological Associates Of Vt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 S Williams St, Burlington, VT 05401 Phone: 802-862-5759 Fax: 802-658-0680 | |
Duncan Fox Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 College St Ste 201, Burlington, VT 05401 Phone: 802-310-1408 |