Individual
DR. ANTONIO CEPEDA-BENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2 COLCHESTER AVE, BURLINGTON, VT 05405-7811
(802) 656-2661
(802) 656-3485
Mailing address
2 COLCHESTER AVE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0118660
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048.0118660
PSYCHOLOGIST LICENSE
VT
Enumeration date
12/08/2006
Last updated
01/02/2020
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