Provider Demographics
NPI:1700111978
Name:ARNETT, DIANNE M (MAC)
Entity type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:M
Last Name:ARNETT
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 SOARING EAGLE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1645
Mailing Address - Country:US
Mailing Address - Phone:512-627-6592
Mailing Address - Fax:512-327-6592
Practice Address - Street 1:4201 BEE CAVE RD
Practice Address - Street 2:SUITE C-213
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6465
Practice Address - Country:US
Practice Address - Phone:512-329-6611
Practice Address - Fax:512-329-6146
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201459106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist