DIANE MARIE WILDMAN MALPC NPI 1669599072

NPI Information

NPI: 1669599072
Provider Name: DIANE MARIE WILDMAN, MALPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
611 BELMONT AVE
YOUNGSTOWN, OH
ZIP 44502
Phone: (330) 744-2991
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Diane Marie Wildman, MALPC is a mental health counselor in Youngstown, OH. Diane Marie Wildman, MALPC NPI is 1669599072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 BELMONT AVE
YOUNGSTOWN, OH
ZIP 44502-037
Phone: (330) 744-2991

The enumeration date for this NPI number is 3/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C-0004924	OHIO	Yes
2	101YS0200X	Counselor	School	C-0004924	OHIO	X
3	106H00000X	Marriage & Family Therapist		C-0004924	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2164381	OTHER	OHIO	CIGNA BEHAVIORAL
2	000000126040	OTHER	OHIO	ANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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