Individual
DR. DIANE PIES TOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5007 LINCOLN AVE, SUITE 106, LISLE, IL 60532-4187
(630) 470-7921
(630) 629-8048
Mailing address
5007 LINCOLN AVE, SUITE 106, LISLE, IL 60532-4187
(630) 470-7921
(630) 629-8048
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071.007194
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071.007194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071007194
LICENSE (CLINICAL PSYCHOLOGIST)
IL
01
—
1194912824
NPI NUMBER
IL
01
—
12253092
CAQH
IL
Enumeration date
09/26/2007
Last updated
05/31/2012
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