Laura Jean Diffendal in Lakewood - Mental Health

Laura Jean Diffendal - NPI 1679770614

Laura Jean Diffendal is a Mental Health in Lakewood, Ohio. Laura Jean Diffendal practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Laura Jean Diffendal is 1679770614. The last update date is 2010-09-17.

Laura Jean Diffendal's current location address is 1297 Saint Charles Ave, Lakewood, Ohio. You can contact this provider via phone number 2169781924. The mailing address for Laura Jean Diffendal is 1297 Saint Charles Ave, Lakewood, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura Jean Diffendal
Address 1297 Saint Charles Ave, Lakewood, Ohio
Phone Number 2169781924
Fax Number
Sole Proprietor N
Credentials PCC-S

NPI Number Detail

NPI Number 1679770614
Provider Enumeration Date 2007-07-02
Last Updated Date 2010-09-17

Provider Mailing Address Detail

Address 1297 Saint Charles Ave
City Lakewood
State Ohio (OH)
Post Code 441072532
Phone Number 2169781924
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Laura Jean Diffendal

What is the unique provider identifier assigned to Laura Jean Diffendal?

The Laura Jean Diffendal has been issued the NPI (National Provider Identifier) 1679770614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Laura Jean Diffendal is physically located?

The Laura Jean Diffendal is physically situated at the following address: 1297 Saint Charles Ave, Lakewood, OH, 441072532.

What is Laura Jean Diffendal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Laura Jean Diffendal is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679770614 to Laura Jean Diffendal?

The Centers for Medicare & Medicaid Services originally issued the 1679770614 to Laura Jean Diffendal on 2007-07-02.

As of what date was the information regarding Laura Jean Diffendal, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Laura Jean Diffendal, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-17.

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