Provider Demographics
NPI:1982833505
Name:CONNER-JEFFERS, DIANNA H (PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANNA
Middle Name:H
Last Name:CONNER-JEFFERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-0542
Mailing Address - Country:US
Mailing Address - Phone:302-464-5445
Mailing Address - Fax:
Practice Address - Street 1:117 MAIN ST.
Practice Address - Street 2:CHELSEA SQUARE UNIT 1
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966
Practice Address - Country:US
Practice Address - Phone:302-464-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0001168103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical