MRS. DIANA L PALS (NPI# 1396762043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396762043 |
| Entity Type | Individual |
| Full Name | MRS. DIANA L PALS |
| Credential | M. ED. |
| Practice Address |
814 S Washington St Moscow ID 83843-3049 |
| Practice Telephone | 2088830619 |
| Practice Fax Number | 2088824774 |
| Mailing Telephone | 2088830619 |
| Mailing Fax Number | 2088824774 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC -167 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | PREMERA BLUE CROSS | 137333137335 | 01 |
| ID | REGENCE BLUE SHIELD | 000010015830 | 01 |
| ID | BLUE CROSS OF IDAHO | Q107-5 | 01 |
| Street Address |
814 S WASHINGTON ST |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881699536 | Beth Waddel | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2005-06-18 |
| 1720396252 | Chia-chi Hu | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2010-09-17 |
| 1164543666 | Kathy Lynn Kwiatkowski | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-04-02 |
| 1376688895 | Karen Alice Knoff | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-02-21 |
| 1174533525 | Alan J. Whitlock | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-08-08 |
| 1336106830 | Dianne Ladon Phillips-miller | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-04-27 |
| 1437139607 | Carolyn J. Wyatt | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-01-22 |
| 1902808736 | Dave Potter | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831224625 | Renea Annette Sowder | Counselor | Psychology Communicative Studies, University of Idaho, Moscow, ID 83844-3043 | 2007-02-22 |
| 1902818503 | Rebecca K Barnes | Counselor | 870 Ventura St, Moscow, ID 83843-9585 | 2006-08-12 |
| 1083623391 | Andrea L Masom | Counselor | 106 E 3rd St, Suite 2b, Moscow, ID 83843-2970 | 2006-08-05 |
| 1487204947 | Catherine Jane Mundell | Counselor | 106 E 3rd St Ste 3b, Moscow, ID 83843-2970 | 2019-09-17 |
| 1669825451 | Vanessa Matossian | Counselor | 317 W 6th St Ste 208, Moscow, ID 83843-2387 | 2016-07-18 |
| 1528419959 | Jennifer Rae Arp | Counselor | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2016-06-27 |
| 1073947578 | Michelle Venee Bilski | Counselor | 142 N Main St, Moscow, PA 18444-9149 | 2013-09-03 |
| 1659712891 | Jennifer L O'brien | Counselor | 1608 Hillcrest Dr, Moscow, ID 83843-9210 | 2013-07-16 |
| 1174864052 | Bethany S Colaprete | Counselor | 212 Rodeo Dr, Suite 410, Moscow, ID 83843-9798 | 2013-03-03 |
| 1568714749 | Elizabeth F. Young | Counselor | 212 Rodeo Dr, Suite 410, Moscow, ID 83843-9798 | 2012-10-11 |
| Find all providers in MOSCOW | ||||
Please comment or provide details below to improve the information on MRS. DIANA L PALS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.