| Doctor Name: | KRISTEN LESLIE DIAMOND |
| NPI Number: | 1043480411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 61953 |
| Business Practice Address: | 105 Kathryn Dr Suite #800 Lewisville, TX - 750674216 |
| Business Phone Number: | 8177068575 |
| Business Fax Number: | 8174303604 |
| Mailing Address: | 5224 Sun Meadow Dr, FLOWER MOUND |
| State: | TX |
| Postal Code: | 750225680 |
| Phone Number: | 8177068575 |
| Fax Number: | 8174303604 |
| NPI Enumeration Date: | 03/02/2008 |
| NPI Last Update Date: | 03/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 61953 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |