Doctor Name: | MRS. DIANA LEIGH EARHART |
NPI Number: | 1437448412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 2011003367 |
Business Practice Address: | 2810 Mount Hope Rd Webb City, MO - 648709674 |
Business Phone Number: | 4176249659 |
Business Fax Number: | |
Mailing Address: | 19402 Gum Rd, JOPLIN |
State: | MO |
Postal Code: | 648018144 |
Phone Number: | 4176737688 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2011 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2011003367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |