Individual
MS. LEONA PHYLLIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006864
—
VT
01
—
1079903
CIGNA
—
01
—
25421
MATTHEW THORNTON
—
01
—
287324
MAGELLAN
—
01
—
30421864
NH MEDICAID
NH
01
—
38027
BLUE CROSS BLUE SHIELD
VT
01
—
61401
MVP
—
01
—
7821189
AETNA
—
Enumeration date
05/16/2007
Last updated
07/08/2007
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