Provider Demographics
NPI:1407134778
Name:DIAMOND, DEBORAH JO (MA, MFTI (CA))
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JO
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:MA, MFTI (CA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PURCHASE ST # 105
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2101
Mailing Address - Country:US
Mailing Address - Phone:914-844-1710
Mailing Address - Fax:
Practice Address - Street 1:222 PURCHASE ST # 105
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2101
Practice Address - Country:US
Practice Address - Phone:914-844-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health