Provider Demographics
NPI:1346661162
Name:WOOD, HELEN JANE (DCLINPSY)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:JANE
Last Name:WOOD
Suffix:
Gender:F
Credentials:DCLINPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HENDERSON TER
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-3514
Mailing Address - Country:US
Mailing Address - Phone:412-478-5699
Mailing Address - Fax:
Practice Address - Street 1:2 COLCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1455
Practice Address - Country:US
Practice Address - Phone:802-656-2661
Practice Address - Fax:802-656-3485
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0134976103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist