INGRID DIEDEREN PHD PA NPI 1114229275

NPI Information

NPI: 1114229275
Provider Name: INGRID DIEDEREN PHD PA
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
172 ASHELAND AVE
SUITE D
ASHEVILLE, NC
ZIP 28801
Phone: (828) 253-1445
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INGRID DIEDEREN PHD PA is an adult mental health clinic center in Asheville, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INGRID DIEDEREN PHD PA NPI is 1114229275. The provider is registered as an organization entity type.

The provider's business location address is:

172 ASHELAND AVE
SUITE D
ASHEVILLE, NC
ZIP 28801-005
Phone: (828) 253-1445
Fax: (828) 253-1456

The provider's authorized official is Ingrid Mary Diederen .
The authorized official title is President and has the following contact phone number (828) 253-1445.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 11/23/2010.

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	261QM0850X	Clinic/Center	Adult Mental Health	1376	NORTH CAROLINA	Yes

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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