Organization
PSYCHOTHERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBON J COGHLON MD (OWNER)
(802) 775-2581
Entity
Organization
Contact information
Practice address
90 MAHONEY AVE, RUTLAND, VT 05701
(802) 775-2581
(802) 775-3395
Mailing address
90 MAHONEY AVE, RUTLAND, VT 05701
(802) 775-2581
(802) 775-3395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0680000177
VT
2084P0800X
Psychiatry Physician
5324
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005085
—
VT
Enumeration date
05/18/2007
Last updated
09/11/2025
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