Dianne L Grande is a Clinical in Batavia, Illinois. Dianne L Grande practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dianne L Grande is 1669581724. The last update date is 2016-09-29.
Dianne L Grande's current location address is 335 N River St, Batavia, Illinois. You can contact this provider via phone number 6304065493 and fax number 6308796806. The mailing address for Dianne L Grande is 335 N River St, Batavia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dianne L Grande |
|---|---|
| Address | 335 N River St, Batavia, Illinois |
| Phone Number | 6304065493 |
| Fax Number | 6308796806 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1669581724 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2016-09-29 |
Provider Mailing Address Detail
| Address | 335 N River St |
|---|---|
| City | Batavia |
| State | Illinois (IL) |
| Post Code | 605102386 |
| Phone Number | 6304065493 |
| Fax Number | 6308796806 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-004183 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2619 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the Dianne L Grande's 1669581724?
The Dianne L Grande's NPI (National Provider Identifier) Number is 1669581724. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dianne L Grande?
The Dianne L Grande is situated at 335 N River St, in the city of Batavia, state of IL, with the zip code 605102386.
What is the Dianne L Grande's specialty and taxonomy code?
The Dianne L Grande's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669581724 to Dianne L Grande?
The Centers for Medicare & Medicaid Services originally issued the 1669581724 to Dianne L Grande on 2006-08-30.
When was the information regarding Dianne L Grande most recently updated?
The details pertaining to the Dianne L Grande, including its address, specialty, and other relevant information, were last refreshed on 2016-09-29.