Individual
DR. DIANE MARIE AGRESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
321 S MAIN ST, SUITE 209, ANN ARBOR, MI 48104-2117
(734) 665-9890
Mailing address
321 S MAIN ST, SUITE 209, ANN ARBOR, MI 48104-2117
(734) 665-9890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301002761
MI
103TA0700X
Adult Development & Aging Psychologist
6301002761
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301002761
MI
103TC0700X
Clinical Psychologist
Primary
6301002761
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301002761
MI
103TF0000X
Family Psychologist
6301002761
MI
103TP2701X
Group Psychotherapy Psychologist
6301002761
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620H14705
BXBS PROVIDER NUMBER
MI
Enumeration date
05/26/2006
Last updated
06/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us