Provider Demographics
NPI:1770660276
Name:DEAN, DIANE L (RN,C, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:L
Last Name:DEAN
Suffix:
Gender:F
Credentials:RN,C, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 ABERS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2303
Mailing Address - Country:US
Mailing Address - Phone:412-427-9058
Mailing Address - Fax:724-325-1571
Practice Address - Street 1:4559 OLD WILLIAM PENN HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1950
Practice Address - Country:US
Practice Address - Phone:724-387-1650
Practice Address - Fax:724-325-1571
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003539101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001624763OtherHIGHMARK ID