Provider Demographics
NPI:1376088591
Name:JARIN, DIANE (ED D)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:
Last Name:JARIN
Suffix:
Gender:F
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1658
Mailing Address - Country:US
Mailing Address - Phone:610-525-3228
Mailing Address - Fax:610-525-4934
Practice Address - Street 1:1528 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1658
Practice Address - Country:US
Practice Address - Phone:610-525-3228
Practice Address - Fax:610-525-4934
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-23
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral