Provider Demographics
NPI:1225250962
Name:DIAMOND, KALYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KALYN
Middle Name:
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KALYN
Other - Middle Name:
Other - Last Name:DIAMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:942 SW WOODBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-4600
Mailing Address - Country:US
Mailing Address - Phone:785-286-7400
Mailing Address - Fax:
Practice Address - Street 1:942 SW WOODBRIDGE CT
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-4600
Practice Address - Country:US
Practice Address - Phone:785-806-3328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1738103TR0400X, 103TH0004X, 103TA0700X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service