Provider Demographics
NPI:1306889027
Name:BRONZINI, DIANNE BYRNES (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:BYRNES
Last Name:BRONZINI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6865 SW 18TH ST # B-12
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7057
Mailing Address - Country:US
Mailing Address - Phone:561-488-0328
Mailing Address - Fax:561-807-7926
Practice Address - Street 1:6865 SW 18TH ST # B-12
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7057
Practice Address - Country:US
Practice Address - Phone:561-488-0328
Practice Address - Fax:561-807-7926
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW68191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical