Provider Demographics
NPI:1265535595
Name:NASH-MCFERON, DIANE ELIZABETH (PHD,LP)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:ELIZABETH
Last Name:NASH-MCFERON
Suffix:
Gender:F
Credentials:PHD,LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306B LAKE VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-1844
Mailing Address - Country:US
Mailing Address - Phone:360-568-8737
Mailing Address - Fax:360-568-1654
Practice Address - Street 1:2936 ROCKEFELLER AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4020
Practice Address - Country:US
Practice Address - Phone:425-626-3027
Practice Address - Fax:360-568-1654
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003788103TC0700X
WALF00001314106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist