Provider Demographics
NPI:1417527631
Name:DIGGS, ALANA
Entity Type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:
Last Name:DIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALANA
Other - Middle Name:
Other - Last Name:BURKETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11312 PENSIVE PT APT 102
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-4302
Mailing Address - Country:US
Mailing Address - Phone:240-308-2390
Mailing Address - Fax:
Practice Address - Street 1:11312 PENSIVE PT APT 102
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-4302
Practice Address - Country:US
Practice Address - Phone:240-308-2390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1388980103TS0200X
CO24370967103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool