Provider Demographics
NPI:1770596249
Name:BARNHILL, DIANE (PSYD, LCPC)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:
Last Name:BARNHILL
Suffix:
Gender:F
Credentials:PSYD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 N FRY ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-7619
Mailing Address - Country:US
Mailing Address - Phone:208-602-8867
Mailing Address - Fax:208-378-7686
Practice Address - Street 1:2309 MOUNTAIN VIEW DR STE 185
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1071
Practice Address - Country:US
Practice Address - Phone:208-602-8867
Practice Address - Fax:208-378-7686
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-11101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional