Individual
DIANE THERESA BARTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0730
Mailing address
3440 E SOUTHERN AVE UNIT 1045, MESA, AZ 85204-5654
(480) 832-9459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582917
—
AZ
Enumeration date
02/06/2007
Last updated
07/09/2007
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