Individual
DR. MARISSA NICOLE PETERSEN-COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401
(802) 847-3634
Mailing address
6020 DAWSON BLVD, I, NORCROSS, GA 30093-1229
(770) 662-0249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0132241
VT
103TC0700X
Clinical Psychologist
PSY003680
GA
Other
Enumeration date
04/08/2013
Last updated
08/20/2018
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