DIANE L HOLLANDER (NPI# 1497196109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497196109 |
| Entity Type | Individual |
| Full Name | DIANE L HOLLANDER |
| Credential | PSYD, BCBA-D |
| Practice Address |
140 E Marietta St Canton GA 30114-3013 |
| Practice Telephone | 7702133594 |
| Practice Fax Number | 7702133595 |
| Mailing Telephone | 7702133594 |
| Mailing Fax Number | 7702133595 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY003735 | GA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
140 E MARIETTA ST |
| City | CANTON |
| State | GA |
| Zip Code | 30114-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780817817 | Peyton Lee Groff | Psychologist | 140 E Marietta St, Canton, GA 30114-3013 | 2009-08-24 |
| 1215348719 | Jack L. Talley | Psychologist | 140 E Marietta St, Canton, GA 30114-3013 | 2014-05-19 |
| 1861831562 | Georgia Neurobehavioral Associates, LLC | Behavioral Analyst | 140 E Marietta St, Suite 301, Canton, GA 30114-3013 | 2013-06-17 |
| 1003254327 | Allison Curving Doerr | Psychologist | 140 E Marietta St, Suite 301, Canton, GA 30114-3013 | 2013-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699116418 | Richard Michael Drury | Psychologist | 340 Turnpike St Ste 1-3a, Canton, MA 02021-2700 | 2013-07-09 |
| 1598038796 | Robert Morton Leve | Psychologist | 52 Woodchuck Hill Rd, Canton, CT 06019-2131 | 2012-02-17 |
| 1902076144 | Ralph L Buterbaugh | Psychologist | 4531 Westwood Drive, Canton, OH 44709-1912 | 2008-03-04 |
| 1407110745 | Yves Ambroise | Psychologist | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2012-07-02 |
| 1922393594 | Samuel H. Taylor | Psychologist | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2011-06-12 |
| 1194032425 | Fatima A Watt | Psychologist | 3 Randolph St, Canton, MA 02021-2351 | 2010-09-08 |
| 1962722355 | Laura Elizabeth Young | Psychologist | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2010-06-08 |
| 1386878114 | Sheryl L Bell | Psychologist | 919 2nd St Ne, Canton, OH 44704-1132 | 2009-05-07 |
| 1851577126 | Jason Robert Angione | Psychologist | 919 2nd St Ne, Canton, OH 44704-1132 | 2008-01-16 |
| 1063557379 | William E Mohler | Psychologist | 4792 Munson St Nw, Munson Professional Centre, Canton, OH 44718-3630 | 2007-02-21 |
| Find all providers in CANTON | ||||
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| 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.