Provider Demographics
NPI:1316540701
Name:CATE, WYLIE CONSIDINE
Entity Type:Individual
Prefix:
First Name:WYLIE
Middle Name:CONSIDINE
Last Name:CATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 W SALISBURY RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05769-9516
Mailing Address - Country:US
Mailing Address - Phone:970-846-5528
Mailing Address - Fax:
Practice Address - Street 1:228 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1606
Practice Address - Country:US
Practice Address - Phone:802-377-3445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099265971041C0700X
VT089.01343011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical