Diane Wadiak Backus is a Clinical in Bend, Oregon. Diane Wadiak Backus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Wadiak Backus is 1942341847. The last update date is 2007-07-08.
Diane Wadiak Backus's current location address is 1012 Sw Emkay Dr, Bend, Oregon. You can contact this provider via phone number 5416170024. The mailing address for Diane Wadiak Backus is 1012 Sw Emkay Dr, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Wadiak Backus |
|---|---|
| Address | 1012 Sw Emkay Dr, Bend, Oregon |
| Phone Number | 5416170024 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1942341847 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1012 Sw Emkay Dr |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977021010 |
| Phone Number | 5416170024 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1468 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 808489000 | OR | REGENCE BLUE CROSS BLUE S |
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What is the Diane Wadiak Backus's unique identification number?
The Diane Wadiak Backus has been assigned the NPI (National Provider Identifier) Number 1942341847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Diane Wadiak Backus's facilities are geographically located?
The facilities of Diane Wadiak Backus are physically situated at the following location: 1012 Sw Emkay Dr, Bend, OR, 977021010.
What is Diane Wadiak Backus's area of expertise and its corresponding taxonomy classification?
The Diane Wadiak Backus's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Diane Wadiak Backus receive the assignment of its 1942341847 from the Centers for Medicare & Medicaid Services?
The Diane Wadiak Backus was issued its 1942341847 by the Centers for Medicare & Medicaid Services on 2007-02-12.
When was the Diane Wadiak Backus's information last updated?
The Diane Wadiak Backus's information was last updated on 2007-07-08.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA