Individual
DR. MOLLY CAROLINE MILLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
29 ETHAN ALLEN AVE, SUITE 326B, COLCHESTER, VT 05439-0001
(802) 578-4367
Mailing address
1 WINOOSKI PARK, BOX 122, COLCHESTER, VT 05439-0001
(802) 578-4367
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
842
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011275
—
VT
01
—
915 00068518
BCBS OF VERMONT PROVIDER#
VT
Enumeration date
05/02/2007
Last updated
07/08/2007
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