Individual
EMILY GLORIA DIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-5165
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-0015
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2084P0800X
Psychiatry Physician
Primary
0101276164
VA
208D00000X
General Practice Physician
0101276164
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2021
Last updated
02/05/2026
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