Doctor Name: | MRS. DIANE MARIE SANCHEZ |
NPI Number: | 1144250903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001701 |
Business Practice Address: | 939 Johnson Ave Ronkonkoma, NY - 117796066 |
Business Phone Number: | 6314717242 |
Business Fax Number: | |
Mailing Address: | 1337 Brooklyn Blvd, BAY SHORE |
State: | NY |
Postal Code: | 117064006 |
Phone Number: | 6314717242 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |