Individual
DR. DIANE M BRANDMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2592 N. GREGG AVENUE, SUITE 34, FAYETTEVILLE, AR 72703
(479) 225-7799
Mailing address
PO BOX 1510, WEST PLAINS, MO 65775
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
05-14P
AR
103TC0700X
Clinical Psychologist
Primary
2013010695
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162149719
DOMHA MCD
AR
01
—
5A091
DOMHA BCBS
AR
01
—
5Y827
DOMHA MCR
AR
01
—
P00363
DOMHA MCR RR
AR
Enumeration date
06/18/2006
Last updated
05/28/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us