Individual
DIANE M THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8600 SW 92ND ST, SUITE 203, MIAMI, FL 33156-7397
(305) 595-6633
(305) 595-8327
Mailing address
8600 SW 92ND ST, SUITE 203, MIAMI, FL 33156-7397
(305) 595-6633
(305) 595-8327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3678
FL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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