Individual
DR. JEREMIAH E DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S PROSPECT ST, 3RD FLOOR, BURLINGTON, VT 05401-3456
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0011801
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Enumeration date
02/06/2007
Last updated
03/25/2015
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