Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDER LODGE, MA
Active Sole ProprietorALEXANDER LODGE, MA is a Psychologist healthcare provider located in WILLISTON, Vermont. NPI 1720700404 is currently active in the NPPES registry. Verify at CMS.
Psychologist · WILLISTON, VT
Registration Details
- NPI Number
- 1720700404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2022 (3.8782975897153 yrs)
- Last Updated
- Jan 29, 2024
- Licenses
-
047.0133699 (VT)047.0133699 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 TALCOTT RD STE 30WILLISTON, VT, 054958122Browse VT providers · Browse ZIP 05495
- Phone
- 8025032929
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in WILLISTON, VT
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM BENTLEY NASH | PH.D. | 1689639742 |
| DR. STEVE R. LEWIS | PSY.D. | 1497703508 |
| DR. SHARON LEACH | PH.D. | 1861556672 |
| CATHERINE E BURNS | PHD | 1295910206 |
| MS. MARILYN JEAN RENAUDETTE | M.A. | 1003073644 |
| DR. KATHRYN RICK | PH.D. | 1902161698 |
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.