1518175538 NPI number — MRS. DIANE HOUGHTON MCQUEEN M.ED., LPC

Table of content: MRS. DIANE HOUGHTON MCQUEEN M.ED., LPC (NPI 1518175538)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518175538 NPI number — MRS. DIANE HOUGHTON MCQUEEN M.ED., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCQUEEN
Provider First Name:
DIANE
Provider Middle Name:
HOUGHTON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.ED., LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOUGHTON
Provider Other First Name:
DIANE
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.ED., LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1518175538
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
202 SYLVAN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POTTSTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19465-8327
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-495-6794
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
460 S LEWIS RD
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
ROYERSFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19468-2731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-792-9052
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  PC000916 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: 1328 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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