Individual
DIANE C ALTSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
659A MAIN ST, LAUREL, MD 20707-4067
(301) 490-0550
(410) 880-6874
Mailing address
659A MAIN ST, LAUREL, MD 20707-4067
(301) 490-0550
(410) 880-6874
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1132
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002232
TRICARE
MD
01
—
094
CAREFIRST FEDERAL
DC
01
—
217485
KAISER
MD
01
—
321899
MANAGED HEALTH NETWORK
MD
01
—
410231-01
BC/BS NEW NUMBER
MD
01
—
G008
BC/BS OLD NUMBER
MD
Enumeration date
09/21/2005
Last updated
07/09/2007
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