Doctor Name: | MS. ELAINE N. DIAN |
NPI Number: | 1033306196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC |
License Number: | E0002939 |
Business Practice Address: | 2803 Akron Rd Wooster, OH - 446917904 |
Business Phone Number: | 3302643232 |
Business Fax Number: | 3302023879 |
Mailing Address: | Po Box 518, SMITHVILLE |
State: | OH |
Postal Code: | 446770518 |
Phone Number: | 3302023870 |
Fax Number: | 3302023879 |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0002939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |