Provider Demographics
NPI:1316187065
Name:ALBRIGHT, DIANNE E (PH D)
Entity type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:E
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 N GOLF HARBOR PATH
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-1958
Mailing Address - Country:US
Mailing Address - Phone:352-220-8824
Mailing Address - Fax:
Practice Address - Street 1:371 N GOLF HARBOR PATH
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-1958
Practice Address - Country:US
Practice Address - Phone:352-220-8824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health