Search › Vermont › 103TC0700X
Jennifer Burgoon, PHD,
NPI 1144343054 · on the registry since 2007 · sole proprietor
Practice
- Address
- 160 Hospital Dr
Bennington, VT 05201 - Phone
- (210) 615-3483
- Organisation at this address
- Clr Opco Llc
Mount Anthony Housing CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
106H00000X - Licence states on file
- CA, VT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont