Dr Diane Casanueva Elliott, PHD - Psychologist in Macon, GA

Dr Diane Casanueva Elliott, PHD is a Psychologist - Clinical Child & Adolescent based in Macon, Georgia. Dr Diane Casanueva Elliott is licensed to practice in Georgia (license number PSY003112) and her current practice location is 277 Pierce Ave, Macon, Georgia. She can be reached at her office (for appointments etc.) via phone at (478) 755-0060.

NPI number for Dr Diane Casanueva Elliott is 1083768402 and her current mailing address is 277 Pierce Ave, Macon, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083768402.

Contact Information

Dr Diane Casanueva Elliott, PHD
277 Pierce Ave,
Macon, GA 31204-2419
(478) 755-0060
(478) 743-3508

Map and Direction




Healthcare Provider's Profile

Full NameDr Diane Casanueva Elliott
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location277 Pierce Ave, Macon, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083768402
  • Provider Enumeration Date: 01/23/2007
  • Last Update Date: 06/13/2014

Medical Identifiers

Medical identifiers for Dr Diane Casanueva Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083768402NPI-NPPES
556624291AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent PST000800 (Georgia)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PSY003112 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diane Casanueva Elliott is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Diane Casanueva Elliott, PHD
277 Pierce Ave,
Macon, GA 31204-2419

Ph: (478) 755-0060
Dr Diane Casanueva Elliott, PHD
277 Pierce Ave,
Macon, GA 31204-2419

Ph: (478) 755-0060

Reviews and Comments


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