| Doctor Name: | MS. DIANE K SCHALK |
| NPI Number: | 1003046442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LLPC |
| License Number: | 6401011374 |
| Business Practice Address: | 15501 Metropolitan Pkwy Suite 107 Clinton Township, MI - 480361684 |
| Business Phone Number: | 5866498410 |
| Business Fax Number: | |
| Mailing Address: | 15501 Metropolitan Pkwy, Suite 107 CLINTON TOWNSHIP |
| State: | MI |
| Postal Code: | 480361684 |
| Phone Number: | 5866498410 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2009 |
| NPI Last Update Date: | 07/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401011374 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |