Individual
DR. SAMUEL EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 FISHER RD, MONTPELIER, VT 05633-7901
(802) 828-3300
(802) 828-2749
Mailing address
350 FISHER RD, MONTPELIER, VT 05633-7901
(802) 828-3300
(802) 828-2749
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0014480
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06549893
—
NY
05
—
1030302
—
VT
Enumeration date
03/22/2017
Last updated
03/18/2026
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