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Jacquelyn Ellen Bode, MED
Psychologist in Rutland, Vermont
NPI 1780782375

Jacquelyn Ellen Bode is a Psychologist based in Rutland, VT. Jacquelyn Ellen Bode practices in Rutland, VT and has the professional credentials of MED. The NPI Number for Jacquelyn Ellen Bode is 1780782375 and holds a License No. 291 (Vermont).

The current practice location address for Jacquelyn Ellen Bode is 73 Center St, Rutland, VT and can be reached out via phone at 802-747-3488 and via fax at 802-747-0006. You can also correspond with Jacquelyn Ellen Bode through the mailing address at 73 CENTER ST, RUTLAND, VT - 05701-4046 (mailing address contact number: 802-747-3488).

Location: 73 Center St, Rutland, VT, 05701-4046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780782375
Provider Name
Jacquelyn Ellen Bode
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
73 Center St, Rutland, VT, 05701-4046
Phone Number
802-747-3488
Fax Number
802-747-0006
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0002611 05 VT
institution
Provider Business Practice Location Address Details
Address
73 Center St
City
Rutland
State
Vermont
Zip
05701-4046
Phone Number
802-747-3488
Fax Number
802-747-0006
person
Provider Business Mailing Address Details
Address
73 Center St
City
Rutland
State
Vermont
Zip
05701-4046
Phone Number
802-747-3488
Fax Number
802-747-0006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
269 (Vermont)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
291 (Vermont)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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