| Doctor Name: | DIANA SHOLTZ |
| NPI Number: | 1568471936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS1236 |
| Business Practice Address: | 1 Stackpole Road Machias, ME - 04654 |
| Business Phone Number: | 2072550996 |
| Business Fax Number: | 2072558748 |
| Mailing Address: | P.o. Box 29, MACHIAS |
| State: | ME |
| Postal Code: | 04654 |
| Phone Number: | 2072554990 |
| Fax Number: | 2072558748 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS1236 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |