Dr. Mark J Detzer, PHD
Psychologist, Clinical in White River Junction, Vermont
1215032214- Practice location
- 85 N Main St, Suite 200, White River Junction, VT 05001-7134
- Phone
- 802-299-6498
- Fax
- 888-972-1623
- Last updated
- October 4, 2013
Mark J Detzer is a Psychologist, Clinical based in White River Junction, VT. Mark J Detzer practices in White River Junction, VT and has the professional credentials of PHD. The NPI Number for Mark J Detzer is 1215032214 and holds a License No. 854 (NH). The current practice location address for Mark J Detzer is 85 N Main St, Suite 200, White River Junction, VT 05001-7134 and can be reached out via phone at 802-299-6498 and via fax at 888-972-1623.
Provider Profile Details
- NPI Number
- 1215032214
- Provider Name
- Mark J Detzer
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 85 N Main St, Suite 200, White River Junction, VT 05001-7134
- Phone Number
- 802-299-6498
- Fax Number
- 888-972-1623
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 14, 2006
- Last Update Date
- October 4, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 N Main St
Suite 200
White River Junction, VT 05001-7134 - State
- Vermont
- Zip
- 05001-7134
- Phone Number
- 802-299-6498
- Fax Number
- 888-972-1623
Provider Business Mailing Address Details
- Address
- Po Box 712
White River Junction, VT 05001-0712 - City
- White River Junction
- State
- VT
- Zip
- 05001-0712
- Phone Number
- 802-299-6498
- Fax Number
- 888-972-1623
License Information
- License Number
- 854
- License State
- NH
- Taxonomy
- 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 White River Junction, VT
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Frequently Asked Questions
What is the NPI number of Dr. Mark J Detzer, PHD?
The NPI number of Dr. Mark J Detzer, PHD is 1215032214. It was assigned on September 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark J Detzer, PHD?
Dr. Mark J Detzer, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NH under license number 854.
Where does Dr. Mark J Detzer, PHD practice?
The practice location is 85 N Main St, Suite 200, White River Junction, VT 05001-7134. The office can be reached at 802-299-6498 (phone) or 888-972-1623 (fax).
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 1215032214 directly on the NPPES registry website.