Organization
DIANE KAISER PSYD
Active
Organization
DIANE KAISER PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE S KAISER PSY.D (PRESIDENT)
(360) 524-5200
Entity
Organization
Contact information
Practice address
108 SE 124TH AVE, VANCOUVER, WA 98684-6015
(360) 524-5200
(360) 694-1828
Mailing address
512 NE 81ST ST, STE F BOX 311, VANCOUVER, WA 98665-8134
(360) 524-5200
(360) 694-1828
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002519
WA
Other
Enumeration date
04/13/2011
Last updated
08/03/2011
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