| Doctor Name: | KATINA DIANNE DIAL-SCOTT |
| NPI Number: | 1568725646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 7775 |
| Business Practice Address: | 202 Hwy 74 West Maxton, NC - 28364 |
| Business Phone Number: | 9104741921 |
| Business Fax Number: | |
| Mailing Address: | 11737 Nc 130 Hwy West, MAXTON |
| State: | NC |
| Postal Code: | 28364 |
| Phone Number: | 9104741921 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2012 |
| NPI Last Update Date: | 06/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7775 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |