Provider Demographics
NPI:1326342551
Name:DIEHL, KRISTEN M (AS)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:DIEHL
Suffix:
Gender:F
Credentials:AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 DIEHL LANE
Mailing Address - Street 2:
Mailing Address - City:ASHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:132 DIEHL LN
Practice Address - Street 2:
Practice Address - City:ASHVILLE
Practice Address - State:PA
Practice Address - Zip Code:16613-8710
Practice Address - Country:US
Practice Address - Phone:814-932-8060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health