Organization
ST JOHNSBURY PSYCHOLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH MARKEY PSYD (OWNER/MANAGER)
(802) 751-9347
Entity
Organization
Contact information
Practice address
1097 MAIN ST, ST JOHNSBURY, VT 05819-2646
(802) 751-9347
Mailing address
PO BOX 132, ST JOHNSBURY, VT 05819-0132
(802) 751-9347
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0052907
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018468
MEDICARE PTAN
—
05
—
1017870
—
VT
Enumeration date
10/02/2015
Last updated
11/29/2017
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