Provider Demographics
NPI:1598770216
Name:CARSER, DIANE L (RN, PDH)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:L
Last Name:CARSER
Suffix:
Gender:F
Credentials:RN, PDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COLONIAL VILLAGE DR
Mailing Address - Street 2:#6
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-3925
Mailing Address - Country:US
Mailing Address - Phone:781-646-3722
Mailing Address - Fax:781-777-1121
Practice Address - Street 1:1132 WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3878
Practice Address - Country:US
Practice Address - Phone:413-592-1980
Practice Address - Fax:413-439-0096
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4846103TC1900X
MA93083163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered163W00000XNursing Service ProvidersRegistered Nurse