Provider Demographics
NPI:1912030990
Name:MCGUIRE, DIANNE MARIE (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:MARIE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16910 PLEASANT TRACE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-4039
Mailing Address - Country:US
Mailing Address - Phone:281-480-4623
Mailing Address - Fax:281-480-2490
Practice Address - Street 1:16910 PLEASANT TRACE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-4039
Practice Address - Country:US
Practice Address - Phone:281-480-4623
Practice Address - Fax:281-480-2490
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX156991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical