Organization
VERMONT PSYCHOLOGICAL SERVICES: LEITENBERG CENTER FOR EVIDENCE-BASED P
Active
Other names
Behavior Therapy & Psychotherapy Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN B. KENNEDY PH.D. (ACTING DIRECTOR)
(802) 656-2661
Entity
Organization
Contact information
Practice address
2 COLCHESTER AVENUE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Mailing address
2 COLCHESTER AVENUE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002820
—
VT
01
—
2820
BCBS OF VT
VT
Enumeration date
11/14/2006
Last updated
02/03/2017
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