Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANA HEARST IKEDA, PH.D.
Active Sole ProprietorDR. DIANA HEARST IKEDA, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in DUXBURY, Massachusetts. NPI 1124146717 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · DUXBURY, MA
Registration Details
- NPI Number
- 1124146717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.243250061189 yrs)
- Last Updated
- Dec 13, 2013
- Licenses
-
6917 (MA)6917 (MA)6917 (MA)6917 (MA)6917 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 TREMONT STSUITE 12 ADUXBURY, MA, 023325310Browse MA providers · Browse ZIP 02332
- Phone
- 7819346390
- Fax
- 7819349991
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Psychologist
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Adult Development & Aging Psychologist
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.