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Contact Information

MARISSA N PETERSEN COLEMAN, PSYD.
111 COLCHESTER AVE
BURLINGTON, VT05401
 Phone: 802-847-3634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARISSA N PETERSEN COLEMAN · (Female)

NPI # 1528401759
Status Active
Credentials PSYD.
Entity Individual
Enumeration date 04/08/2013
Last updated 08/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY003680
  • VT License # 048.0132241
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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