Healthcare Provider Details

I. General information

NPI: 1710070115
Provider Name (Legal Business Name): CECILY M. MONRO M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEE MONRO M.A

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 COUNTY RD
WINDSOR VT
05089-1261
US

IV. Provider business mailing address

287 COUNTY RD
WINDSOR VT
05089-1261
US

V. Phone/Fax

Practice location:
  • Phone: 802-674-7136
  • Fax:
Mailing address:
  • Phone: 802-674-7136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number373
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number373
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: