Basic Information
| Provider Information | |||||||||
| NPI: | 1235292020 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKMAN | ||||||||
| FirstName: | DIANA | ||||||||
| MiddleName: | |||||||||
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| Credential: | LISW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 190 CURRIE HALL PKWY | ||||||||
| Address2: | |||||||||
| City: | KENT | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442404312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306735812 | ||||||||
| FaxNumber: | 3306737162 | ||||||||
| Practice Location | |||||||||
| Address1: | 190 CURRIE HALL PKWY | ||||||||
| Address2: | |||||||||
| City: | KENT | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442404312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306735812 | ||||||||
| FaxNumber: | 3306737162 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2006 | ||||||||
| LastUpdateDate: | 06/09/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 991788 | OH | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 104100000X | I9159 | OH | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | I9159 | OH | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041S0200X | I9159 | OH | N | Behavioral Health & Social Service Providers | Social Worker | School | 106H00000X | I9159 | OH | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.