License Information

New Hampshire

License No.: 1502
Profession: Psychology
License Type: Psychologist
Original Issue Date: 10/2/2020
Current Expiration Date: 6/30/2026

New York

License No.: 025538
Profession: Psychology
License Type: Psychologist
Original Issue Date: 2/6/2023
Original Expiration Date: 1/31/2026

Vermont

Credential #: 048.0134248
Profession: Psychological Examiners
Credential Type: Psychologist - Doctorate
Original Issue Date: Feb 16, 2024
Current Expiration Date: Jan 31, 2026

PsyPact

Type: Authority to Practice Interjurisdictional Telepsychology
Mobility Number: 7629
Original EPassport Issue Date: 05/04/2021
Original APIT Issue Date: 05/17/2021
Current Renewal Date: 08/05/2025

States Psychologist has Authority to Practice Telepsychology:
Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, W. Virginia, Wisconsin, Wyoming