Individual
DIANE S KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1701 E EVERGREEN BLVD, VANCOUVER, WA 98661-4289
(360) 524-5200
(360) 326-1635
Mailing address
7720 NE HIGHWAY 99 STE D, VANCOUVER, WA 98665-8859
(360) 524-5200
(360) 326-1635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/21/2006
Last updated
11/13/2019
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