Reilly, Diana Keir

Reilly, Diana Keir is an sole proprietor health care provider with primary practice located at 3 Main St Cornerstone Psychotherapy, Burlington VT 05401-5216. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Reilly, Diana Keir can be contacted via phone (802) 651-7524.

Contact Information

Primary practice address
3 Main St Cornerstone Psychotherapy Burlington VT 05401-5216
Phone: (802) 651-7524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000201 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Vermont

Profile Details

NPI number 1710030622
LBN Legal business name Reilly, Diana Keir
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710030622 NPPES
Vermont Other 783679 MVP PROVIDER NUMBER
Vermont MEDICAID 1010816 MVP PROVIDER NUMBER

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