Provider Demographics
NPI:1104833649
Name:MARR, DIANE DEMPSEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:DEMPSEY
Last Name:MARR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10618 N KENSINGTON CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2445
Mailing Address - Country:US
Mailing Address - Phone:509-991-7385
Mailing Address - Fax:
Practice Address - Street 1:10618 N KENSINGTON CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2445
Practice Address - Country:US
Practice Address - Phone:509-991-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004157101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health