Doctor Name: | MRS. DIANA N.A. MANDELL |
NPI Number: | 1003970047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED L.M.H.C. |
License Number: | LH00003564 |
Business Practice Address: | 2835 112th Ave Se Bellevue, WA - 980047501 |
Business Phone Number: | 4254514427 |
Business Fax Number: | |
Mailing Address: | 2835 112th Ave Se, BELLEVUE |
State: | WA |
Postal Code: | 980047501 |
Phone Number: | 4254514427 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00003564 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |