Individual
DR. DIANE E. WILSON CORMICLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
118 AMALFI CT, PURCELLVILLE, VA 20132-5816
(703) 507-1238
(540) 751-9543
Mailing address
118 AMALFI CT, PURCELLVILLE, VA 20132-5816
(703) 507-1238
(540) 751-9543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001915
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350778
ANTHEM BCBS PROVIDER
VA
Enumeration date
08/30/2006
Last updated
10/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us