Organization
SUSAN MCKENZIE PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MCKENZIE (PRESIDENT)
(802) 295-5533
Entity
Organization
Contact information
Practice address
72 S MAIN ST, SUITE 260, WHITE RIVER JUNCTION, VT 05001-7161
(802) 295-5533
Mailing address
87 SWEETWATER DR, WHITE RIVER JUNCTION, VT 05001-9397
(802) 296-5819
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
VT
103T00000X
Psychologist
—
VT
103TA0700X
Adult Development & Aging Psychologist
—
VT
103TB0200X
Cognitive & Behavioral Psychologist
—
VT
103TC0700X
Clinical Psychologist
—
VT
103TC1900X
Counseling Psychologist
—
VT
103TF0000X
Family Psychologist
—
VT
103TP0814X
Psychoanalysis Psychologist
—
VT
103TP2701X
Group Psychotherapy Psychologist
Primary
—
VT
106H00000X
Marriage & Family Therapist
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08018297
BC BS PROVIDER NUMBER
VT
01
—
1050263
CIGNA PROVIDER NUMBER
VT
Enumeration date
05/14/2007
Last updated
09/11/2025
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