Provider Demographics
NPI:1518147727
Name:RANKIN, DIANA RUTH (MS)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:RUTH
Last Name:RANKIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 N SANTA FE AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2642
Mailing Address - Country:US
Mailing Address - Phone:785-823-1245
Mailing Address - Fax:785-823-1940
Practice Address - Street 1:131 N SANTA FE AVE STE 1A
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2642
Practice Address - Country:US
Practice Address - Phone:785-823-1245
Practice Address - Fax:785-823-1940
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1109103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling