| Diane Kaiser Psyd | |
|
108 Se 124th Ave Vancouver WA 98684-6015 | |
| (360) 524-5200 | |
| (360) 694-1828 |
| Full Name | Diane Kaiser Psyd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 108 Se 124th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Diane S Kaiser (PRESIDENT) |
| Authorized Official Contact | 3605245200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Kaiser Psyd 512 Ne 81st St Ste F Box 311 Vancouver WA 98665-8134 Ph: (360) 524-5200 | Diane Kaiser Psyd 108 Se 124th Ave Vancouver WA 98684-6015 Ph: (360) 524-5200 |
| NPI Number | 1891085643 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891085643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00002519 (Washington) | Primary |
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