Individual
DR. PAMELA DERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
284 S UNION ST, BURLINGTON, VT 05401-4965
(856) 906-5745
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0016455
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Enumeration date
03/25/2020
Last updated
07/25/2024
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