Provider Demographics
NPI:1831683937
Name:KIMMEL-WILLIAMSON, DIANNE CHRISTINE (MA)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:CHRISTINE
Last Name:KIMMEL-WILLIAMSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DIANNE
Other - Middle Name:CHRISTINE
Other - Last Name:KIMMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:WESTBROOK HEALTH SERVICES, INC.
Mailing Address - Street 2:2121 7TH STREET
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2121 7TH ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3803
Practice Address - Country:US
Practice Address - Phone:304-485-1721
Practice Address - Fax:304-424-9424
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical