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Individual
MR. JEFFREY DWORKIN
Active
Individual
MR. JEFFREY DWORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
695
VT
103TB0200X
Cognitive & Behavioral Psychologist
695
VT
103TC0700X
Clinical Psychologist
695
VT
103TC1900X
Counseling Psychologist
695
VT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
695
VT
103TF0000X
Family Psychologist
695
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007379
—
VT
Enumeration date
12/12/2006
Last updated
09/11/2025
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