Provider Demographics
NPI:1952608929
Name:DIQUARTO, DURAN CASTEEL (QBA)
Entity type:Individual
Prefix:MR
First Name:DURAN
Middle Name:CASTEEL
Last Name:DIQUARTO
Suffix:
Gender:M
Credentials:QBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-2447
Mailing Address - Country:US
Mailing Address - Phone:775-303-5000
Mailing Address - Fax:
Practice Address - Street 1:1505 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2447
Practice Address - Country:US
Practice Address - Phone:775-303-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-27
Last Update Date:2011-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health