Dr. Lisa M Pezzulich, PSYD
Psychologist, Clinical in Bennington, Vermont
1417040767- Practice location
- 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873
- Phone
- 802-442-3520
- Fax
- 802-447-3392
- Last updated
- July 22, 2010
Lisa M Pezzulich is a Psychologist, Clinical based in Bennington, VT. Lisa M Pezzulich practices in Bennington, VT and has the professional credentials of PSYD. The NPI Number for Lisa M Pezzulich is 1417040767 and holds a License No. 048-0000729 (VT). The current practice location address for Lisa M Pezzulich is 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 and can be reached out via phone at 802-442-3520 and via fax at 802-447-3392.
Provider Profile Details
- NPI Number
- 1417040767
- Provider Name
- Lisa M Pezzulich
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873
- Phone Number
- 802-442-3520
- Fax Number
- 802-447-3392
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2006
- Last Update Date
- July 22, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Benmont Ave
Suite 20
Bennington, VT 05201-1873 - City
- Bennington
- State
- Vermont
- Zip
- 05201-1873
- Phone Number
- 802-442-3520
- Fax Number
- 802-447-3392
Provider Business Mailing Address Details
- Address
- 160 Benmont Ave
Suite 20
Bennington, VT 05201-1873 - City
- Bennington
- State
- VT
- Zip
- 05201-1873
- Phone Number
- 802-442-3520
- Fax Number
- 802-447-3392
License Information
- License Number
- 048-0000729
- 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. | |||
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. Marjorie C Larowe, PHDPsychologist, Clinical · NPI 1225178775
- Dr. Patricia A Mccullagh, PSYDPsychologist, Clinical · NPI 1255361267
Frequently Asked Questions
What is the NPI number of Dr. Lisa M Pezzulich, PSYD?
The NPI number of Dr. Lisa M Pezzulich, PSYD is 1417040767. It was assigned on October 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Lisa M Pezzulich, PSYD?
Dr. Lisa M Pezzulich, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 048-0000729.
Where does Dr. Lisa M Pezzulich, PSYD practice?
The practice location is 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873. The office can be reached at 802-442-3520 (phone) or 802-447-3392 (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 1417040767 directly on the NPPES registry website.