Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANE CASANUEVA ELLIOTT, PHD
Active Sole ProprietorDR. DIANE CASANUEVA ELLIOTT, PHD is a Child, Clinical Psychologist healthcare provider located in MACON, Georgia. NPI 1083768402 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · MACON, GA
Registration Details
- NPI Number
- 1083768402
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2007 (19.585911668532 yrs)
- Last Updated
- Jun 13, 2014
- Licenses
-
PST000800 (GA)PSY003112 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
277 PIERCE AVEMACON, GA, 312042419Browse GA providers · Browse ZIP 31204
- Phone
- 4787550060
- Fax
- 4787433508
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Other Child, Clinical Psychologist Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES D. WARREN | PHD | 1316060601 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.