Provider Demographics
NPI:1518175538
Name:MCQUEEN, DIANE HOUGHTON (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:HOUGHTON
Last Name:MCQUEEN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:ELIZABETH
Other - Last Name:HOUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:202 SYLVAN DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8327
Mailing Address - Country:US
Mailing Address - Phone:610-495-6794
Mailing Address - Fax:
Practice Address - Street 1:460 S LEWIS RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-2731
Practice Address - Country:US
Practice Address - Phone:610-792-9052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000916101YP2500X
VA1328101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional