Provider Demographics
NPI:1841744356
Name:SCHRIMSHER, DIANNA LYNN
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:LYNN
Last Name:SCHRIMSHER
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 1:410 N PALM CT
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2175
Mailing Address - Country:US
Mailing Address - Phone:863-205-0012
Mailing Address - Fax:
Practice Address - Street 1:410 N PALM CT
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-2175
Practice Address - Country:US
Practice Address - Phone:863-205-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health