Provider Demographics
NPI:1952779183
Name:SEIPEL, DIANDREA (MS, NCC, TLMHC)
Entity Type:Individual
Prefix:
First Name:DIANDREA
Middle Name:
Last Name:SEIPEL
Suffix:
Gender:F
Credentials:MS, NCC, TLMHC
Other - Prefix:
Other - First Name:DIANDREA
Other - Middle Name:
Other - Last Name:RESKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 KELLOGG AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6226
Mailing Address - Country:US
Mailing Address - Phone:515-233-3141
Mailing Address - Fax:515-233-2440
Practice Address - Street 1:125 S 3RD ST
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-7042
Practice Address - Country:US
Practice Address - Phone:515-233-2250
Practice Address - Fax:515-233-3235
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA078767101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health