Organization
DIANE EDEN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE HOLLY EDEN MD (MEDICAL DIRECTOR)
(440) 951-5600
Entity
Organization
Contact information
Practice address
35000 CHARDON RD, 210, WILLOUGHBY, OH 44094-9012
(440) 951-5600
(440) 951-1293
Mailing address
35000 CHARDON RD, 210, WILLOUGHBY, OH 44094-9012
(440) 951-5600
(440) 951-1293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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