Doctor Name: | LUZ DIAZ |
NPI Number: | 1649695743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDCA |
License Number: | 070413 |
Business Practice Address: | 41641 N Ridge Rd Elyria, OH - 440351264 |
Business Phone Number: | 4403247406 |
Business Fax Number: | 4403243609 |
Mailing Address: | 3514 W 128th St, CLEVELAND |
State: | OH |
Postal Code: | 441113505 |
Phone Number: | 2163948022 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2014 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 070413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |