| Doctor Name: | DIANA BURNS-WETZEL |
| NPI Number: | 1114207636 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CASAC |
| License Number: | 074152 |
| Business Practice Address: | 3565 Crompond Rd Cortlandt Manor, NY - 105677232 |
| Business Phone Number: | 9147369433 |
| Business Fax Number: | |
| Mailing Address: | 1992 Commerce St, 221 YORKTOWN HEIGHTS |
| State: | NY |
| Postal Code: | 105984412 |
| Phone Number: | 9147369433 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2011 |
| NPI Last Update Date: | 08/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 074152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |