Doctor Name: | MS. DIANE DECKER KNASIN |
NPI Number: | 1033277256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LMHC NCC CADAC |
License Number: | 619 |
Business Practice Address: | 178 Lauren Drive Seekonk, MA - 02771 |
Business Phone Number: | 5083369895 |
Business Fax Number: | 5085571014 |
Mailing Address: | 178 Lauren Drive, SEEKONK |
State: | MA |
Postal Code: | 02771 |
Phone Number: | 5083369895 |
Fax Number: | 5085571014 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 619 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |