Individual
MS. DIANE MONTGOMERY-LOGAN
Active
Individual
MS. DIANE MONTGOMERY-LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
534
VT
103TP2701X
Group Psychotherapy Psychologist
Primary
534
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004148
—
VT
Enumeration date
09/01/2006
Last updated
09/11/2025
Update your record
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