Provider Demographics
NPI:1508186313
Name:SNOWDEN, DIAN DECKBAR (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:DIAN
Middle Name:DECKBAR
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6715
Mailing Address - Country:US
Mailing Address - Phone:318-352-9936
Mailing Address - Fax:318-352-9936
Practice Address - Street 1:509 WHITE OAK LN
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6715
Practice Address - Country:US
Practice Address - Phone:318-352-9936
Practice Address - Fax:318-352-9936
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA21961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical