| Doctor Name: | DR. ERIKA DIANIS |
| NPI Number: | 1447558341 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 6301015045 |
| Business Practice Address: | 655 E. Cedar Ave. Gladwin, MI - 48624 |
| Business Phone Number: | 9894269295 |
| Business Fax Number: | |
| Mailing Address: | 655 E. Cedar Ave, GLADWIN |
| State: | MI |
| Postal Code: | 48624 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2011 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301015045 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |