Individual
MS. DIANE M HARVEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12805 CINCHRING LN, AUSTIN, TX 78727-4534
(512) 659-8553
Mailing address
12805 CINCHRING LN, AUSTIN, TX 78727-4534
(512) 659-8553
(512) 331-4103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108132502
—
TX
Enumeration date
10/03/2006
Last updated
10/24/2023
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