Provider Demographics
NPI:1023441573
Name:DELP, DIANE SUE (LPC)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:SUE
Last Name:DELP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 N LITTLE HORSE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1139
Mailing Address - Country:US
Mailing Address - Phone:520-240-9020
Mailing Address - Fax:
Practice Address - Street 1:3232 N LITTLE HORSE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1139
Practice Address - Country:US
Practice Address - Phone:520-240-9020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional