Doctor Name: | MRS. DIANA ROSE URE |
NPI Number: | 1003946575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS13487 |
Business Practice Address: | 1436 Goodrich Blvd Commerce, CA - 900225111 |
Business Phone Number: | 3237251337 |
Business Fax Number: | 3232785344 |
Mailing Address: | 2252 Midwick Dr, ALTADENA |
State: | CA |
Postal Code: | 910012829 |
Phone Number: | 6267913126 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS13487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |