Provider Demographics
NPI:1811075260
Name:LEEPER, DIANA MARIE
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:MARIE
Last Name:LEEPER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LEEPER RD
Mailing Address - Street 2:
Mailing Address - City:OKOLONA
Mailing Address - State:AR
Mailing Address - Zip Code:71962-9773
Mailing Address - Country:US
Mailing Address - Phone:870-379-2092
Mailing Address - Fax:870-379-2311
Practice Address - Street 1:626 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:AR
Practice Address - Zip Code:71845-8502
Practice Address - Country:US
Practice Address - Phone:870-921-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator