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Thomas Leo Diana, PHD
Health Service Psychologist in Winona, Minnesota
NPI 1093874281

Thomas Leo Diana is a Health Service Psychologist based in Winona, MN and is specialized in Health Service. Thomas Leo Diana practices in Winona, MN and has the professional credentials of PHD. The NPI Number for Thomas Leo Diana is 1093874281 and holds a License No. LP1219 (Minnesota).

The current practice location address for Thomas Leo Diana is 66 E 3Rd St, Winona, MN and can be reached out via phone at 507-452-1021 and via fax at 507-452-1504.

Location: 66 E 3Rd St, Winona, MN, 55987-3478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093874281
Provider Name
Thomas Leo Diana
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
66 E 3Rd St, Winona, MN, 55987-3478
Phone Number
507-452-1021
Fax Number
507-452-1504
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731291041000 01 MN PREFERRED ONE
126921 01 MN UCARE
200048200 05 MN
78G63DI 01 MN BCBS-MN
HP41036 01 MN HEALTHPARTNERS
institution
Provider Business Practice Location Address Details
Address
66 E 3Rd St
City
Winona
State
Minnesota
Zip
55987-3478
Phone Number
507-452-1021
Fax Number
507-452-1504
person
Provider Business Mailing Address Details
Address
66 E 3Rd St
City
Winona
State
Minnesota
Zip
55987-3478
Phone Number
507-452-1021
Fax Number
507-452-1504
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
LP1219 (Minnesota)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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