Provider Demographics
NPI:1437209731
Name:WORLEY, DIANE D (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:D
Last Name:WORLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:D
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:4646 MISTY RUN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-1189
Mailing Address - Country:US
Mailing Address - Phone:210-886-8653
Mailing Address - Fax:
Practice Address - Street 1:105 E ASHBY PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5835
Practice Address - Country:US
Practice Address - Phone:210-735-2479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001766-043051106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist