| Doctor Name: | MRS. DIANE SUE BIDWELL |
| NPI Number: | 1730109471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSCSW |
| License Number: | LSCSW3594 |
| Business Practice Address: | 250 E Grand Ave Haysville, KS - 670601318 |
| Business Phone Number: | 3165542324 |
| Business Fax Number: | 3165542323 |
| Mailing Address: | 250 E Grand Ave, HAYSVILLE |
| State: | KS |
| Postal Code: | 670601318 |
| Phone Number: | 3165542324 |
| Fax Number: | 3165542323 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSCSW3594 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |