Provider Demographics
NPI:1821563131
Name:ARTHUR, DIANNE SYLVIA
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:SYLVIA
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 VAUGHN ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8550
Mailing Address - Country:US
Mailing Address - Phone:305-793-8980
Mailing Address - Fax:
Practice Address - Street 1:499 VAUGHN ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8550
Practice Address - Country:US
Practice Address - Phone:305-793-8980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000014561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical