institution
Diane Park Md Llc
Mental Health Counselor in Mesa, Arizona
NPI 1972847903

Diane Park Md Llc is a Mental Health Counselor based in Mesa, AZ and is specialized in Mental Health. Diane Park Md Llc practices in Mesa, AZ. The NPI Number for Diane Park Md Llc is 1972847903 and holds a License No. 32107 (Arizona).

The current practice location address for Diane Park Md Llc is 1845 S Dobson Rd, Mesa, AZ and can be reached out via phone at 480-204-2477.

Location: 1845 S Dobson Rd, Mesa, AZ, 85202-5661
institution
Provider Profile Details
NPI Number
1972847903
Provider Name
Diane Park Md Llc
Credential
Provider Entity Type
Organization
Address
1845 S Dobson Rd, Mesa, AZ, 85202-5661
Phone Number
480-204-2477
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609946672 01 AZ INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
1845 S Dobson Rd
City
State
Zip
85202-5661
Phone Number
480-204-2477
Fax Number
person
Provider Business Mailing Address Details
Address
1845 S Dobson Rd
City
State
Zip
85202-5661
Phone Number
480-204-2477
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
32107 (Arizona)
Definition
Definition to come...
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