| Doctor Name: | DIANA RADER |
| NPI Number: | 1679983274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LGSW |
| License Number: | BP00943470 |
| Business Practice Address: | 45 Oakford Ave Richwood, WV - 262611137 |
| Business Phone Number: | 3048806794 |
| Business Fax Number: | |
| Mailing Address: | 15 E Walnut St, RICHWOOD |
| State: | WV |
| Postal Code: | 262611109 |
| Phone Number: | 3048806794 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2014 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | BP00943470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |