Individual
CALLIE DIAMONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-0860
Mailing address
6363 FOREST PARK RD STE BLB.306, DALLAS, TX 75235-5479
(214) 645-2563
(214) 645-2562
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
0139000042
VA
207SG0203X
Clinical Molecular Genetics Physician
0139000042
VA
Other
Enumeration date
03/06/2018
Last updated
05/15/2019
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