Individual
DR. JESSICA R. HOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3 MAIN ST, BURLINGTON, VT 05401-5216
(802) 651-7501
Mailing address
3 MAIN ST, BURLINGTON, VT 05401-5216
(802) 651-7501
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
019565
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
048.0118565
VT
103TC0700X
Clinical Psychologist
019565
NY
103TC0700X
Clinical Psychologist
Primary
048.0118565
VT
103TC2200X
Clinical Child & Adolescent Psychologist
019565
NY
103TC2200X
Clinical Child & Adolescent Psychologist
048.0118565
VT
Other
Enumeration date
09/11/2008
Last updated
08/23/2016
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