Provider Demographics
NPI:1083456552
Name:MOSHE, DIANA ARRIOLA (MSW)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:ARRIOLA
Last Name:MOSHE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:CARMINA
Other - Last Name:ARRIOLA LICON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PROFESOR
Mailing Address - Street 1:14508 SE 24TH ST APT B103
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-6202
Mailing Address - Country:US
Mailing Address - Phone:425-577-0944
Mailing Address - Fax:
Practice Address - Street 1:14508 SE 24TH ST APT B103
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6202
Practice Address - Country:US
Practice Address - Phone:425-577-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical