Individual
MRS. DIANA WASHBURN MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACP RN
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
47-537
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003873
—
VT
01
—
1008386
CIGNA
VT
01
—
28419
BCBS
VT
01
—
41531
MVP
VT
Enumeration date
08/02/2006
Last updated
07/08/2007
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