Roderick, Diana Jane

Roderick, Diana Jane is an individual health care provider with primary practice located at 1701 Southwest Pkwy Suite 201, College Station TX 77840-6911. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Roderick, Diana Jane can be contacted via phone (979) 764-8127.

Contact Information

Primary practice address
1701 Southwest Pkwy Suite 201 College Station TX 77840-6911
Phone: (979) 764-8127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 16128 Texas

Profile Details

NPI number 1215978820
LBN Legal business name Roderick, Diana Jane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers