Individual
MR. JEFFREY DWORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
24 COURT ST., MONTPELIER, VT 05602
(802) 223-6733
(802) 223-6733
Mailing address
24 COURT ST., MONTPELIER, VT 05602
(802) 223-6733
(802) 223-6733
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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