Individual
STEVEN K DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
850 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7244
(401) 440-7927
(401) 842-0360
Mailing address
39 TOLEDO AVE, PAWTUCKET, RI 02860-4727
(401) 440-7927
(401) 842-0360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00851
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10301100
NHP
RI
01
—
291415
BCBS
RI
01
—
411814
MEDICARE GROUP NUMBER
RI
01
—
412175
BCHIP
RI
01
—
SD32151
HARVARD PILGRIM
RI
05
—
SD32151
—
RI
Enumeration date
05/15/2006
Last updated
07/22/2008
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