Provider Demographics
NPI:1477651875
Name:SCHREADER, DIANE JOSEPHINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:JOSEPHINE
Last Name:SCHREADER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7634 E SAN FERNANDO DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255
Mailing Address - Country:US
Mailing Address - Phone:480-502-9344
Mailing Address - Fax:480-483-3981
Practice Address - Street 1:8300 NORTH HAYDEN RD
Practice Address - Street 2:STE A104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258
Practice Address - Country:US
Practice Address - Phone:480-443-3060
Practice Address - Fax:480-483-3981
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist