Individual
MRS. ELIZABETH SARAH DINERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
1232 E BROADWAY RD, SUITE 120, TEMPE, AZ 85282-1511
(480) 784-1514
Mailing address
1001 W PENINSULA DR, GILBERT, AZ 85233-6746
(480) 784-1514
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-12249
AZ
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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