| Doctor Name: | DR. DIANA LYNN CHAMRAD |
| NPI Number: | 1598852394 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY00001206 |
| Business Practice Address: | 919 3rd St #101 Langley, WA - 982609228 |
| Business Phone Number: | 3602217892 |
| Business Fax Number: | 3602212515 |
| Mailing Address: | Po Box 292, FREELAND |
| State: | WA |
| Postal Code: | 982490292 |
| Phone Number: | 3602217892 |
| Fax Number: | 3602212515 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY00001206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |