Provider Demographics
NPI:1568777209
Name:OREM, DIANA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:MARIE
Last Name:OREM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 STRAWBERRY FIELD GRV APT E
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-6302
Mailing Address - Country:US
Mailing Address - Phone:407-461-3161
Mailing Address - Fax:
Practice Address - Street 1:7601 BAD TOELZ RD
Practice Address - Street 2:10TH SPECIAL FORCES GROUP AIRBORNE
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4626
Practice Address - Country:US
Practice Address - Phone:710-526-4367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist