Individual
MS. DIANA YVONNE GINTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FL: LCSW & SC PSYCH
Contact information
Practice address
514 SE 11TH CT, SUITE A, FT LAUDERDALE, FL 33316-1111
(954) 732-8050
Mailing address
514 SE 11TH CT, SUITE A, FT LAUDERDALE, FL 33316-1111
(954) 732-8050
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
ED PSY 963 ALLIED MH
MA
103TS0200X
School Psychologist
SS 924
FL
104100000X
Social Worker
Primary
SW 8747
FL
1041C0700X
Clinical Social Worker
111950
MA
Other
Enumeration date
11/08/2006
Last updated
09/24/2013
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