Healthcare Provider Details

I. General information

NPI: 1376455790
Provider Name (Legal Business Name): COTTINGHAM NEUROPSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 KILBURN ST STE 212
BURLINGTON VT
05401-8705
US

IV. Provider business mailing address

11 KILBURN ST STE 212
BURLINGTON VT
05401-8705
US

V. Phone/Fax

Practice location:
  • Phone: 802-242-0695
  • Fax: 802-419-3573
Mailing address:
  • Phone: 802-242-0695
  • Fax: 802-419-3573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA COTTINGHAM
Title or Position: OWNER
Credential: PHD
Phone: 802-242-0695