Lisa Joan Diefenbach in Indiana - Clinical
Lisa Joan Diefenbach - NPI 1467471128
Lisa Joan Diefenbach is a Clinical in Indiana, Pennsylvania. Lisa Joan Diefenbach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Joan Diefenbach is 1467471128. The last update date is 2007-07-09.
Lisa Joan Diefenbach's current location address is 793 Old Route 119 Hwy N, Indiana, Pennsylvania. You can contact this provider via phone number 7244655576 and fax number 7244633262. The mailing address for Lisa Joan Diefenbach is 793 Old Route 119 Hwy N, Indiana, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Joan Diefenbach |
|---|---|
| Address | 793 Old Route 119 Hwy N, Indiana, Pennsylvania |
| Phone Number | 7244655576 |
| Fax Number | 7244633262 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1467471128 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 793 Old Route 119 Hwy N |
|---|---|
| City | Indiana |
| State | Pennsylvania (PA) |
| Post Code | 157011372 |
| Phone Number | 7244655576 |
| Fax Number | 7244633262 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS015877 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Joan Diefenbach by the Centers for Medicare & Medicaid Services?
The Lisa Joan Diefenbach has been assigned the NPI (National Provider Identifier) 1467471128. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Joan Diefenbach is physically located?
The Lisa Joan Diefenbach is situated at the following address: 793 Old Route 119 Hwy N, Indiana, PA 157011372.
What is Lisa Joan Diefenbach's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Joan Diefenbach's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467471128 to Lisa Joan Diefenbach?
The Lisa Joan Diefenbach received its 1467471128 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the Lisa Joan Diefenbach's information last updated?
The Lisa Joan Diefenbach's information was last updated on 2007-07-09.