Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN DAVID PETTY, PSY.D.
Active Sole ProprietorDR. JOHN DAVID PETTY, PSY.D. is a Clinical Psychologist healthcare provider located in PUTNEY, Vermont. NPI 1245541705 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PUTNEY, VT
Registration Details
- NPI Number
- 1245541705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2010 (16.098260667777 yrs)
- Last Updated
- Jan 10, 2020
- License
-
048.0110630 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
68 EARLS WAYPUTNEY, VT, 053468617Browse VT providers · Browse ZIP 05346
- Phone
- 8023875011
- Fax
- 8023872299
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.