Individual
DR. LINDSAY BENNIGSON JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., M.A.
Contact information
Practice address
185 TILLEY DR, SUITE 14, SOUTH BURLINGTON, VT 05403-4484
(802) 229-8270
(802) 862-8411
Mailing address
185 TILLEY DR, SUITE 14, SOUTH BURLINGTON, VT 05403-4484
(802) 229-8270
(802) 862-8411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0056429
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014583
—
VT
01
—
11815987
CAQH
—
Enumeration date
01/02/2008
Last updated
09/03/2009
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