Doctor Name: | MS. DIANNA MORGAN FORSYTHE |
NPI Number: | 1154544682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MALPC |
License Number: | 2361 |
Business Practice Address: | 1224 N Flint St Lincolnton, NC - 280925239 |
Business Phone Number: | 7047489558 |
Business Fax Number: | |
Mailing Address: | 4140 S Nc 127 Hwy, HICKORY |
State: | NC |
Postal Code: | 286029292 |
Phone Number: | 8282942648 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |