Individual
SCOTT J BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
160 BENMONT AVE, SUITE C3-95, BENNINGTON, VT 05201-1873
(802) 379-2496
Mailing address
160 BENMONT AVE, SUITE C3-95, BENNINGTON, VT 05201-1873
(802) 379-2496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
097.0103158
VT
Other
Enumeration date
11/24/2016
Last updated
11/24/2016
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