Doctor Name: | DIANE FRIEDMAN HERSETH |
NPI Number: | 1255414777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH |
License Number: | LPCMH 2126 |
Business Practice Address: | 405 8th Ave Nw Suite 333 Aberdeen, SD - 574012762 |
Business Phone Number: | 6052253622 |
Business Fax Number: | 6052292719 |
Mailing Address: | 405 8th Ave Nw, Suite 333 ABERDEEN |
State: | SD |
Postal Code: | 574012762 |
Phone Number: | 6052253622 |
Fax Number: | 6052292719 |
NPI Enumeration Date: | 10/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPCMH 2126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |