Individual
DR. DIANE SUE VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, MSSW
Contact information
Practice address
4770 COVERT AVE, EVANSVILLE, IN 47714-5617
(812) 475-3420
Mailing address
4770 COVERT AVE, EVANSVILLE, IN 47714-5617
(812) 475-3420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
340000182A
IN
106H00000X
Marriage & Family Therapist
35001309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34000182A
CLINICAL SOCIAL WORKER
IN
01
—
35001309A
MARRIAGE & FAMILY THERAPIST
IN
Enumeration date
11/02/2008
Last updated
11/02/2008
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