Provider Demographics
NPI:1407202948
Name:HUSBANDS, DIANA P
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:P
Last Name:HUSBANDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 NW SALINA TER
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1153
Mailing Address - Country:US
Mailing Address - Phone:772-267-9800
Mailing Address - Fax:
Practice Address - Street 1:1655 PALM BEACH LAKES BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2225
Practice Address - Country:US
Practice Address - Phone:561-882-6431
Practice Address - Fax:561-881-0972
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical