Susan Mckenzie Psychotherapy Pc
Legal Business Name
Susan Mckenzie Psychotherapy Pc
NPI Number
1528273414
NPI Type
Organization
Enumeration Date
05/14/2007
Specialties
(Taxonomies)Name
Code
103TA0700X
103TC0700X
103TB0200X
103TC1900X
103TF0000X
103TP2701X
103TP0814X
102L00000X
103T00000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
87 SWEETWATER DR
72 S MAIN ST
City
White River Junction
White River Junction
State
VT
VT
Postal Code
05001-9397
05001-7161
Country
US
US
Telephone Number
(802) 296-5819
(802) 295-5533
Authorized Official
Name
Susan Mckenzie
Title or Position
PRESIDENT
Telephone Number
(802) 295-5533
Identifiers
Identifier
1050263
08018297
Identifier State
VT
VT
Identifier Issuer
CIGNA PROVIDER NUMBER
BC BS PROVIDER NUMBER
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020