Jennifer R Burgoon, PHD
Psychologist, Clinical in Bennington, Vermont
1144343054- Practice location
- 160 Hospital Dr, Bennington, VT 05201-2279
- Phone
- 210-615-3483
- Fax
- —
- Last updated
- September 28, 2021
Jennifer Romans Burgoon is a Psychologist, Clinical based in Bennington, VT. Jennifer Romans Burgoon practices in Bennington, VT and has the professional credentials of PHD. The NPI Number for Jennifer Romans Burgoon is 1144343054 and holds a License No. PSY28112 (CA). The current practice location address for Jennifer Romans Burgoon is 160 Hospital Dr, Bennington, VT 05201-2279 and can be reached out via phone at 210-615-3483.
Provider Profile Details
- NPI Number
- 1144343054
- Provider Name
- Jennifer Romans Burgoon
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 160 Hospital Dr, Bennington, VT 05201-2279
- Phone Number
- 210-615-3483
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 6, 2007
- Last Update Date
- September 28, 2021
- Certification Date
- September 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Hospital Dr
Bennington, VT 05201-2279 - City
- Bennington
- State
- Vermont
- Zip
- 05201-2279
- Phone Number
- 210-615-3483
Provider Business Mailing Address Details
- Address
- Po Box 4412
Bennington, VT 05201-4412 - City
- Bennington
- State
- VT
- Zip
- 05201-4412
- Phone Number
- 802-430-8355
License Information
- License Number (1)
- PSY28112
- License State (1)
- CA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 51200
- License State (2)
- CA
- Taxonomy (2)
- Marriage & Family Therapist · 106H00000X
- License Number (3)
- 048.0132428
- License State (3)
- VT
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Bennington, VT
View all Psychologist, Clinical providers in Bennington →- Bernard M Bandman, PHDPsychologist, Clinical · NPI 1013962315
- David S Brown, PHDPsychologist, Clinical · NPI 1366553828
- Doris M Russell, PHDPsychologist, Clinical · NPI 1134140635
- Dr. David Mellinger, PSYDPsychologist, Clinical · NPI 1700851722
- Dr. Lisa M Pezzulich, PSYDPsychologist, Clinical · NPI 1417040767
- Dr. Marjorie C Larowe, PHDPsychologist, Clinical · NPI 1225178775
Frequently Asked Questions
What is the NPI number of Jennifer R Burgoon, PHD?
The NPI number of Jennifer R Burgoon, PHD is 1144343054. It was assigned on April 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Jennifer R Burgoon, PHD?
Jennifer R Burgoon, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CA under license number PSY28112.
Where does Jennifer R Burgoon, PHD practice?
The practice location is 160 Hospital Dr, Bennington, VT 05201-2279. The office can be reached at 210-615-3483 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144343054 directly on the NPPES registry website.