# DR. TERI M BULLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467670950
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | 796 | VT | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 796 | VT | Yes |
| 103TS0200X | School Psychologist | 796 | VT | — |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 02/22/2023