Provider Demographics
NPI:1427265305
Name:BRINKER, DIANNE ESTELLE (MSW, LCSW, PHD)
Entity type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:ESTELLE
Last Name:BRINKER
Suffix:
Gender:F
Credentials:MSW, LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 KING ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4943
Mailing Address - Country:US
Mailing Address - Phone:340-773-3443
Mailing Address - Fax:
Practice Address - Street 1:1138 KING ST
Practice Address - Street 2:SUITE 206
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4943
Practice Address - Country:US
Practice Address - Phone:340-773-3443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2-2027437-2007101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health