Provider Demographics
NPI:1518167055
Name:ZERBE, DIANE H (MA)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:H
Last Name:ZERBE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 1ST AVE
Mailing Address - Street 2:SUITE 600A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2498
Mailing Address - Country:US
Mailing Address - Phone:206-441-6399
Mailing Address - Fax:206-325-0080
Practice Address - Street 1:1932 1ST AVE
Practice Address - Street 2:SUITE 600A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2498
Practice Address - Country:US
Practice Address - Phone:206-441-6399
Practice Address - Fax:206-325-0080
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102L00000X
WALW000046851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical