Provider Demographics
NPI:1043819139
Name:GOSLIN, DIANE JILL (CPM)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:JILL
Last Name:GOSLIN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 N OLD RD
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579-9745
Mailing Address - Country:US
Mailing Address - Phone:717-786-8701
Mailing Address - Fax:717-786-8700
Practice Address - Street 1:931 N OLD RD
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-9745
Practice Address - Country:US
Practice Address - Phone:717-786-8701
Practice Address - Fax:717-786-8700
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN