Provider Demographics
NPI:1477520724
Name:DELP, DIANA ROSE (MED, LMFT)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ROSE
Last Name:DELP
Suffix:
Gender:F
Credentials:MED, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7109 FEYHURST DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3437
Mailing Address - Country:US
Mailing Address - Phone:502-645-9469
Mailing Address - Fax:502-893-3251
Practice Address - Street 1:7109 FEYHURST DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3437
Practice Address - Country:US
Practice Address - Phone:502-645-9469
Practice Address - Fax:502-893-3251
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYLMFT0552174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist