Provider Demographics
NPI:1376757955
Name:POWERS, DIANA CAROL (VOC SPECIALIST)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:CAROL
Last Name:POWERS
Suffix:
Gender:F
Credentials:VOC SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 N KRISTEN RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-9011
Mailing Address - Country:US
Mailing Address - Phone:419-898-0652
Mailing Address - Fax:419-898-1826
Practice Address - Street 1:1570 N KRISTEN RD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-9011
Practice Address - Country:US
Practice Address - Phone:419-898-0652
Practice Address - Fax:419-898-1826
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator