| Doctor Name: | DIANA L. PRESCOTT |
| NPI Number: | 1770695900 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PS838 |
| Business Practice Address: | 108 B Main Road South Hampden Psychological Consultation, Pllc Hampden, ME - 04444 |
| Business Phone Number: | 2078623370 |
| Business Fax Number: | 2078623350 |
| Mailing Address: | 108 B Main Road South, Hampden Psychological Consultation, Pllc HAMPDEN |
| State: | ME |
| Postal Code: | 04444 |
| Phone Number: | 2078623370 |
| Fax Number: | 2078623350 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 05/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS838 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |