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Contact Information

CATHERINE M LUCKHARDT, PSYD
1 MILL ST STE 206
BURLINGTON, VT05401-1534
 Phone: 802-448-2028
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CATHERINE M LUCKHARDT · (Female)

NPI # 1730667114
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 07/30/2018
Last updated 12/02/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 048.0134289
  • MA Medicaid 100218268901
  • VT Medicaid 6708640
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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