Provider Demographics
NPI:1942366091
Name:FIELDER, DIANA (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:FIELDER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 S KENTUCKY ST
Mailing Address - Street 2:SUITE C-252
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2252
Mailing Address - Country:US
Mailing Address - Phone:806-350-7898
Mailing Address - Fax:806-350-7899
Practice Address - Street 1:1616 S KENTUCKY ST
Practice Address - Street 2:SUITE C-252
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2252
Practice Address - Country:US
Practice Address - Phone:806-350-7898
Practice Address - Fax:806-350-7899
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional