MR. LISA DIANE DIETZ M.S. NPI 1952438293

NPI Information

NPI: 1952438293
Provider Name: MR. LISA DIANE DIETZ, M.S.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
222 E GRAND AVE
SUITE 404
PONCA CITY, OK
ZIP 74601
Phone: (580) 763-2256
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MR. Lisa Diane Dietz, M.S. is a mental health counselor in Ponca City, OK. MR. Lisa Diane Dietz, M.S. NPI is 1952438293. 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:

222 E GRAND AVE
SUITE 404
PONCA CITY, OK
ZIP 74601-316
Phone: (580) 763-2256
Fax: (580) 762-6511

The enumeration date for this NPI number is 2/27/2007 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	1642	OKLAHOMA	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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