Individual
DR. DIANE C SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RHD
Contact information
Practice address
1495 MILL ST, RENO, NV 89502-1479
(775) 982-3559
(775) 972-6904
Mailing address
PO BOX 20328, RENO, NV 89515-0328
(775) 982-3559
(775) 972-6904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0333
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616082
—
NV
Enumeration date
11/27/2006
Last updated
07/08/2007
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