| Doctor Name: | DR. DIANA S. GREYWOLF |
| NPI Number: | 1013189216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 048.0051503 |
| Business Practice Address: | 221 Route 5 S Suite 1 Norwich, VT - 050559523 |
| Business Phone Number: | 8026492462 |
| Business Fax Number: | |
| Mailing Address: | Po Box 124, THETFORD |
| State: | VT |
| Postal Code: | 050740124 |
| Phone Number: | 8026492462 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2008 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 048.0051503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |