License Information

New Hampshire

License No.: 1502
Profession: Psychology
License Type: Psychologist
Issue Date: 10/2/2020
Expiration Date: 6/30/2024

Vermont

Credential #: 048.0134248
Profession: Psychological Examiners
Credential Type: Psychologist - Doctorate
Effective: Feb 01, 2022
Expires: Jan 31, 2024

PsyPact

Type: Authority to Practice Interjurisdictional Telepsychology
Mobility Number: 7629
EPassport Issue Date: 05/04/2021
APIT Issue Date: 05/17/2021
EPassport Renewal Date: 05/23/2023

States Psychologist has Authority to Practice Telepsychology:
Alabama, Arizona, Arkansas, Colorado, Commonwealth of the Northern Mariana Islands, Connecticut, Delaware, District of Columbia, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, W. Virginia, Wisconsin