| Doctor Name: | DR. DIANE MARIE HOEKSTRA |
| NPI Number: | 1023169406 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 0810001946 |
| Business Practice Address: | 10721 Main St Ste 2350 Fairfax, VA - 220306913 |
| Business Phone Number: | 7035915912 |
| Business Fax Number: | 7035817210 |
| Mailing Address: | 10721 Main St Ste 2350, FAIRFAX |
| State: | VA |
| Postal Code: | 220306913 |
| Phone Number: | 7035915912 |
| Fax Number: | 7035817210 |
| NPI Enumeration Date: | 01/14/2007 |
| NPI Last Update Date: | 08/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 0810001946 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |