Active NPIIndividual providerSole proprietor

Dr. Diane W Backus, PHD

Psychologist, Clinical in Bend, Oregon

NPI Number1942341847
Practice location
1012 SW Emkay Dr, Bend, OR 97702-1010
Fax
—
Last updated
July 8, 2007

Dr. Diane W Backus, PHD is a Psychologist, Clinical based in Bend, OR. Dr. Diane W Backus, PHD holds the professional credentials of PHD. The NPI number for Dr. Diane W Backus, PHD is 1942341847 and holds license No. 1468 (OR). The current practice location address is 1012 SW Emkay Dr, Bend, OR 97702-1010 and the office can be reached by phone at 541-617-0024. The NPI was assigned on February 12, 2007 and the record was last updated in NPPES on July 8, 2007.

●Provider Profile Details

NPI Number
1942341847
Provider Name
Diane Wadiak Backus
Credential
PHD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Enumeration Date
February 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

◉Business Practice Location Address

Address
1012 SW Emkay Dr
Bend, OR 97702-1010
City
Bend
State
Oregon
ZIP
97702-1010
Country
US
Phone Number
541-617-0024

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✉Business Mailing Address

Address
1012 SW Emkay Dr
Bend, OR 97702-1010
City
Bend
State
OR
ZIP
97702-1010
Phone Number
541-617-0024

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychologist, Clinical103TC0700XYes1468OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Diane W Backus, PHD?

The NPI number of Dr. Diane W Backus, PHD is 1942341847. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Diane W Backus, PHD?

Dr. Diane W Backus, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X) and holds license No. 1468 (OR).

Where does Dr. Diane W Backus, PHD practice?

The practice location is 1012 SW Emkay Dr, Bend, OR 97702-1010. The office can be reached at 541-617-0024 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942341847 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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