DR. MARK J DETZER


Address: 85 N Main St, Suite 200, White River Junction, VT 05001-7134
Phone: 8022996498

DR. MARK J DETZER (NPI# 1215032214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215032214
Entity Type Individual
Full Name DR. MARK J DETZER
Credential PHD
Practice Address 85 N Main St
Suite 200
White River Junction
VT 05001-7134
Mailing Address Po Box 712
White River Junction
VT 05001-0712
Practice Telephone 8022996498
Practice Fax Number 8889721623
Mailing Telephone 8022996498
Mailing Fax Number 8889721623
Enumeration Date 2006-09-14
Last Update Date 2013-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
854 NH Behavioral Health & Social Service Providers

Office Location

Street Address 85 N MAIN ST
SUITE 200
City WHITE RIVER JUNCTION
State VT
Zip Code 05001-7134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588941090 William Piatt Ketterer Psychologist 85 N Main St, Suite 210, White River Junction, VT 05001-7134 2011-11-11
1578687950 Jeana Embers Counselor 85 N Main St, Suite 210, White River Junction, VT 05001-7134 2007-03-19
1992894810 Laurie Farr Hanks Psychologist 85 N Main St, White River Junction, VT 05001-7134 2006-10-11
1740397405 David M. Drazin Psychologist 85 N Main St, White River Junction, VT 05001-7134 2006-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265071674 Angela Norton Dietitian, Registered White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 2020-01-02
1295221687 Arielle Courtney Strickland Behavioral Analyst 91 Farmvu Dr, White River Junction, VT 05001 2018-07-09
1639544075 Maureen D Bogosian Counselor 211 North Main St, White River, VT 05001 2015-12-10
1104254515 Peter David Tenenbaum Social Worker 67 Raymond Circle, White River Junction, VT 05001 2013-10-22
1124311493 Amber J Leavitt Counselor 226 Holiday Dr Ste 21, White River Junction, VT 05001 2011-05-19
1083820963 Eileen Frances Lanza Counselor 3 Palmer Court, White River Junction, VT 05001 2007-05-15
1841337912 Carol B. Collier Counselor 5 Palmer Court, White River Junction, VT 05001 2007-01-30
1174682041 Mark G Koch Marriage & Family Therapist 1011 N. Main St. #21, White River Junction, VT 05001 2006-12-07
1518032564 White River Family Practice PC Family Medicine 331 Olcott Drive, Suite U3, White River Jct, VT 05001 2006-11-22
1396818100 Richard Sandford Zubarik Internal Medicine Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 2006-11-17
Find all providers in zip 05001

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801961214 Mark C Johnson Psychologist 2456 Christian Street, Suite 204, White River Junction, VT 05001-1222 2006-11-21
1740391168 Catherine Jane Kutter Psychologist 215 N Main St # 116a0, White River Junction, VT 05009-0001 2006-08-31
1063019529 Brittany Nicole Norris Psychologist 215 N Main St, White River Junction, VT 05009-0001 2020-10-07
1902415334 Laurie Anne Simontacchi Veillette Psychologist 215 N Main St, White River Junction, VT 05009-0001 2020-07-31
1356993612 Daniel Cheney Psychologist 215 N Main St, White River Junction, VT 05009-0001 2019-07-16
1245756394 Amanda Kutz Psychologist 215 Main St, White River Junction, VT 05009 2017-08-21
1346774684 Casey Allington Psychologist 215 N Main St, White River Junction, VT 05009-1000 2017-04-13
1457613572 Eric Robert Utecht Psychologist 215 N Main St, Administrative Desk 60, White River Junction, VT 05009-0001 2012-06-14
1588941090 William Piatt Ketterer Psychologist 85 N Main St, Suite 210, White River Junction, VT 05001-7134 2011-11-11
1811204316 Erin R Barnett Psychologist Veterans Affairs Medical Ctr, 215 North Main St, 116d, White River Junction, VT 05009-0001 2010-09-03
Find all providers in WHITE RIVER JUNCTION

Competitor

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City WHITE RIVER JUNCTION
Zip Code 05001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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