Individual
DR. DIANE TRYON LATIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3843 ATTUCKS DR., SUITE B, POWELL, OH 43065
(614) 553-7815
(336) 834-0149
Mailing address
3843 ATTUCKS DR., SUITE B, POWELL, OH 43065
(614) 553-7815
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312L
BLUE CROSS BLUE SHIELD
NC
01
—
120080
VALUEOPTIONS
NC
05
—
6000011
—
NC
Enumeration date
06/28/2006
Last updated
09/19/2014
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