Individual
DR. JOHN DAVID PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
68 EARLS WAY, PUTNEY, VT 05346-8617
(802) 387-5011
(802) 387-2299
Mailing address
68 EARLS WAY, PUTNEY, VT 05346-8617
(802) 258-1222
(802) 387-2211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0110630
VT
Other
Enumeration date
06/29/2010
Last updated
01/10/2020
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