Provider Demographics
NPI:1679737407
Name:BROWNE, DIANE
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:BROWNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:CONN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW
Mailing Address - Street 1:81 OUTERBELT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1548
Mailing Address - Country:US
Mailing Address - Phone:614-759-5075
Mailing Address - Fax:614-759-5079
Practice Address - Street 1:81 OUTERBELT ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1548
Practice Address - Country:US
Practice Address - Phone:614-759-5075
Practice Address - Fax:614-759-5079
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00086761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical