Doctor Name: | DR. DIANE A KEMPSON |
NPI Number: | 1023229788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, PHD |
License Number: | LCSW 532 |
Business Practice Address: | 32 Black Elk Trl Laramie, WY - 820705354 |
Business Phone Number: | 3073992502 |
Business Fax Number: | 3077666839 |
Mailing Address: | 32 Black Elk Trl, LARAMIE |
State: | WY |
Postal Code: | 820705354 |
Phone Number: | 3073992502 |
Fax Number: | 3077666839 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW 532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |