Provider Demographics
NPI:1801856778
Name:O'ROURKE, DIANE FRANCES (PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:FRANCES
Last Name:O'ROURKE
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 1:1008 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-5109
Mailing Address - Country:US
Mailing Address - Phone:501-663-7473
Mailing Address - Fax:501-663-7473
Practice Address - Street 1:1008 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-5109
Practice Address - Country:US
Practice Address - Phone:501-663-7473
Practice Address - Fax:501-663-7473
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR87-4P103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical