Eric N Petersen, MA
Psychologist in South Burlington, Vermont
1225679814- Practice location
- 1233 Shelburne RD Ste C4, South Burlington, VT 05403-7780
- Phone
- 802-392-0405
- Fax
- —
- Last updated
- October 4, 2019
Eric N Petersen is a Psychologist based in South Burlington, VT. Eric N Petersen practices in South Burlington, VT and has the professional credentials of MA. The NPI Number for Eric N Petersen is 1225679814 and holds a License No. 047.0133672 (VT). The current practice location address for Eric N Petersen is 1233 Shelburne RD Ste C4, South Burlington, VT 05403-7780 and can be reached out via phone at 802-392-0405.
Provider Profile Details
- NPI Number
- 1225679814
- Provider Name
- Eric N Petersen
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1233 Shelburne RD Ste C4, South Burlington, VT 05403-7780
- Phone Number
- 802-392-0405
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 4, 2019
- Last Update Date
- October 4, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1233 Shelburne RD Ste C4
South Burlington, VT 05403-7780 - City
- South Burlington
- State
- Vermont
- Zip
- 05403-7780
- Phone Number
- 802-392-0405
Provider Business Mailing Address Details
- Address
- 1233 Shelburne RD Ste C4
South Burlington, VT 05403-7780 - City
- South Burlington
- State
- VT
- Zip
- 05403-7780
- Phone Number
- 802-392-0405
License Information
- License Number
- 047.0133672
- License State
- VT
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near South Burlington, VT
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- Amanda Martin, MAPsychologist · NPI 1841156098
- Christine E Rushforth, MAPsychologist · NPI 1548428584
- Dr. Elizabeth Sprague, PSYDPsychologist · NPI 1972718146
- Dr. Kay F Schepp, EDDPsychologist · NPI 1750429353
- Dr. Nancy M Hodgkins, PSYDPsychologist · NPI 1326139908
Frequently Asked Questions
What is the NPI number of Eric N Petersen, MA?
The NPI number of Eric N Petersen, MA is 1225679814. It was assigned on October 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Eric N Petersen, MA?
Eric N Petersen, MA is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in VT under license number 047.0133672.
Where does Eric N Petersen, MA practice?
The practice location is 1233 Shelburne RD Ste C4, South Burlington, VT 05403-7780. The office can be reached at 802-392-0405 (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 1225679814 directly on the NPPES registry website.