Individual
DR. MARK J DETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
85 N MAIN ST, SUITE 200, WHITE RIVER JUNCTION, VT 05001-7134
(802) 299-6498
(888) 972-1623
Mailing address
PO BOX 712, WHITE RIVER JUNCTION, VT 05001-0712
(802) 299-6498
(888) 972-1623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
854
NH
Other
Enumeration date
09/14/2006
Last updated
10/04/2013
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