- Practice location
- 68 Earls Way, Putney, VT 05346-8617
- Phone
- 802-387-5011
- Fax
- 802-387-2299
- Last updated
- January 10, 2020
John David Petty is a Psychologist, Clinical based in Putney, VT. John David Petty practices in Putney, VT and has the professional credentials of PSYD. The NPI Number for John David Petty is 1245541705 and holds a License No. 048.0110630 (VT). The current practice location address for John David Petty is 68 Earls Way, Putney, VT 05346-8617 and can be reached out via phone at 802-387-5011 and via fax at 802-387-2299.
Provider Profile Details
- NPI Number
- 1245541705
- Provider Name
- John David Petty
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 68 Earls Way, Putney, VT 05346-8617
- Phone Number
- 802-387-5011
- Fax Number
- 802-387-2299
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 29, 2010
- Last Update Date
- January 10, 2020
- Certification Date
- January 10, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 68 Earls Way
Putney, VT 05346-8617 - City
- Putney
- State
- Vermont
- Zip
- 05346-8617
- Phone Number
- 802-387-5011
- Fax Number
- 802-387-2299
Provider Business Mailing Address Details
- Address
- 68 Earls Way
Putney, VT 05346-8617 - City
- Putney
- State
- VT
- Zip
- 05346-8617
- Phone Number
- 802-258-1222
- Fax Number
- 802-387-2211
License Information
- License Number
- 048.0110630
- License State
- VT
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Dr. John D Petty, PSYD?
The NPI number of Dr. John D Petty, PSYD is 1245541705. It was assigned on June 29, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. John D Petty, PSYD?
Dr. John D Petty, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 048.0110630.
Where does Dr. John D Petty, PSYD practice?
The practice location is 68 Earls Way, Putney, VT 05346-8617. The office can be reached at 802-387-5011 (phone) or 802-387-2299 (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 1245541705 directly on the NPPES registry website.