| Doctor Name: | MRS. ANNELLA GRACE DIDIER |
| NPI Number: | 1073892030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 65671 |
| Business Practice Address: | 6226 A Colleyville Blvd Colleyville, TX - 760346277 |
| Business Phone Number: | 8177974948 |
| Business Fax Number: | 8175451565 |
| Mailing Address: | 6226 A Colleyville Blvd., COLLEYVILLE |
| State: | TX |
| Postal Code: | 76034 |
| Phone Number: | 8177974948 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2011 |
| NPI Last Update Date: | 02/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 65671 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |