Individual
DIANE H. PHINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
815 HEMLOCK ST, INVERNESS, FL 34452-5940
(352) 341-3435
(352) 291-9536
Mailing address
815 HEMLOCK ST, INVERNESS, FL 34452-5940
(352) 341-3435
(352) 291-9536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
002067
MO
1041C0700X
Clinical Social Worker
Primary
SW11777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493625701
—
MO
05
—
493625719
—
MO
05
—
493625727
—
MO
05
—
493625735
—
MS
05
—
493625750
—
MO
05
—
49625743
—
MO
Enumeration date
12/28/2005
Last updated
06/13/2014
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