Kyrisch, Diana

Kyrisch, Diana is an individual health care provider with primary practice located at 5911 E Nance St , Mesa AZ 85215-1485. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kyrisch, Diana can be contacted via phone (919) 824-9832.

Contact Information

Primary practice address
5911 E Nance St Mesa AZ 85215-1485
Phone: (919) 824-9832
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 12033 Arizona

Profile Details

NPI number 1760545545
LBN Legal business name Kyrisch, Diana
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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