Provider Demographics
NPI:1457881757
Name:DIANA, SAUNDRA (LPC, CAADC)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:
Last Name:DIANA
Suffix:
Gender:F
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 N MERCER ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3806
Mailing Address - Country:US
Mailing Address - Phone:724-856-0875
Mailing Address - Fax:
Practice Address - Street 1:41 N MERCER ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3806
Practice Address - Country:US
Practice Address - Phone:724-856-0875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA756074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional