Provider Demographics
NPI:1972838407
Name:MARKET, DIANE FRANCES (MSW)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:FRANCES
Last Name:MARKET
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 NICHOLSON LOOP
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-3847
Mailing Address - Country:US
Mailing Address - Phone:304-282-9429
Mailing Address - Fax:
Practice Address - Street 1:356 NICHOLSON LOOP
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-3847
Practice Address - Country:US
Practice Address - Phone:304-282-9429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009385461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical