Individual
DIANA CHRISTINE LANDISTRATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 CENTURY BLVD, SUITE 220, NASHVILLE, TN 37214
(615) 375-7993
Mailing address
2075 E HAGERT ST, PHILADELPHIA, PA 19125-1631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127614
PA
1041C0700X
Clinical Social Worker
Primary
CW025690
PA
Other
Enumeration date
04/13/2022
Last updated
04/30/2026
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