Individual
DIANA CUELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
480 PIERCE ST, SUITE 305, KINGSTON, PA 18704-5512
(570) 437-0558
(570) 714-9444
Mailing address
480 PIERCE ST, SUITE 305, KINGSTON, PA 18704-5512
(570) 437-0558
(570) 714-9444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017248
PA
Other
Enumeration date
08/29/2012
Last updated
03/07/2014
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