IndividualActive
Danielle Bergeron Ingram, LPC, M.S., QDDP
NPI 1669877452 · Clinical Psychologist · Rutland, VT
Provider details
- NPI number
- 1669877452
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- LPC, M.S., QDDP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 047.0111914 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
78 S Main St
Rutland, VT 05701-4591
Phone: (802) 775-0828
Approximate (ZIP-level) locationGet directions
Mailing address
78 S Main St
Rutland, VT 05701-4591
Registry dates
- Enumerated
- 2014-10-23
- Last updated
- 2015-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.