Doctor Name: | NANCY DALE MCDIARMID |
NPI Number: | 1417259870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 8184 |
Business Practice Address: | 3970 Henry Kaylor Ln Granite Falls, NC - 286307551 |
Business Phone Number: | 8282344540 |
Business Fax Number: | 8287287474 |
Mailing Address: | 3970 Henry Kaylor Ln, GRANITE FALLS |
State: | NC |
Postal Code: | 286307551 |
Phone Number: | 8282344540 |
Fax Number: | 8287287474 |
NPI Enumeration Date: | 11/17/2010 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 8184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |