Provider Demographics
NPI:1356557847
Name:SAFRAN, DIANE STEIN (MS, LMFT, ATR-BC)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:STEIN
Last Name:SAFRAN
Suffix:
Gender:F
Credentials:MS, LMFT, ATR-BC
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:SONIA
Other - Last Name:STEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 MELON PATCH LN
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2738
Mailing Address - Country:US
Mailing Address - Phone:203-222-8592
Mailing Address - Fax:203-227-5493
Practice Address - Street 1:1 MELON PATCH LN
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-2738
Practice Address - Country:US
Practice Address - Phone:203-222-8592
Practice Address - Fax:203-227-5493
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00044106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist