Active NPIIndividual providerSole proprietor

Scott J Burg, MA

Psychologist, Clinical in Bennington, Vermont

NPI Number1376086280
Practice location
160 Benmont Ave, Suite C3-95, Bennington, VT 05201-1873
Fax
—
Last updated
November 24, 2016

Scott J Burg is a Psychologist, Clinical based in Bennington, VT. Scott J Burg practices in Bennington, VT and has the professional credentials of MA. The NPI Number for Scott J Burg is 1376086280 and holds a License No. 097.0103158 (VT). The current practice location address for Scott J Burg is 160 Benmont Ave, Suite C3-95, Bennington, VT 05201-1873 and can be reached out via phone at 802-379-2496.

Provider Profile Details

NPI Number
1376086280
Provider Name
Scott J Burg
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
160 Benmont Ave, Suite C3-95, Bennington, VT 05201-1873
Phone Number
802-379-2496
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 24, 2016
Last Update Date
November 24, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Benmont Ave
Suite C3-95
Bennington, VT 05201-1873
State
Vermont
Zip
05201-1873
Phone Number
802-379-2496
Bennington, VT 05201Get directions →

Provider Business Mailing Address Details

Address
160 Benmont Ave
Suite C3-95
Bennington, VT 05201-1873
City
Bennington
State
VT
Zip
05201-1873
Phone Number
802-379-2496

License Information

License Number
097.0103158
License State
VT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Scott J Burg, MA?

The NPI number of Scott J Burg, MA is 1376086280. It was assigned on November 24, 2016 and is currently active in the NPPES registry.

What is the specialty of Scott J Burg, MA?

Scott J Burg, MA is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 097.0103158.

Where does Scott J Burg, MA practice?

The practice location is 160 Benmont Ave, Suite C3-95, Bennington, VT 05201-1873. The office can be reached at 802-379-2496 (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 1376086280 directly on the NPPES registry website.

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