Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Psychotherapy LLC

Organization Psychologist · NPI 1114348166

Phoenix Psychotherapy LLC is a Psychologist in South Burlington, Vermont. Licensed in Colorado. Registered with an NPI since 2013.

Licensed in
CO
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

595 Dorset St Ste 2
South Burlington, VT 05403-6240
Phone: (802) 651-8999
Fax: (802) 651-8997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2051 (CO)

Record details

NPI number1114348166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Vanderryn — Owner/Sole Proprietor · (802) 651-8999
NPI enumeratedDecember 18, 2013
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing addressPo Box 125, Vergennes, VT 05491-0125

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