Casey Allington

Individual provider Active NPI Clinical Psychologist · White River Junction, VT

NPI 1346774684 · NPPES record last updated Oct 18, 2019

Key facts

NPI
1346774684
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS01741 (RI)
Practice address
215 N Main St
White River Junction, VT 05009-1000
Phone
(802) 295-9363
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PS01741RIMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01741 RI Yes

Addresses

Primary practice location

215 N Main St
White River Junction, VT 05009-1000

Mailing address

44 Harvest LN
White River Junction, VT 05001-9299

Other providers in White River Junction, VT

All providers in White River Junction, VT · Clinical Psychologist in Vermont

Sources for this page

Verify at the official NPI Registry.