=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710070115
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CECILY M. MONRO M.A.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 287 COUNTY RD
-----------------------------------------------------
City | WINDSOR
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05089-1261
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-674-7136
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 287 COUNTY RD
-----------------------------------------------------
City | WINDSOR
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05089-1261
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-674-7136
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC1900X
-----------------------------------------------------
Taxonomy Name | Counseling Psychologist
-----------------------------------------------------
License Number | 373
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103TF0000X
-----------------------------------------------------
Taxonomy Name | Family Psychologist
-----------------------------------------------------
License Number | 373
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------