Theresa R Diserio (NPI# 1689770505, PAC ID# 1951355981) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1689770505 |
| PAC ID by PECOS | 1951355981 |
| Professional Enrollment ID | I20050311000435 |
| Full Name | Theresa R Diserio |
| Address |
3831 Attucks Dr B Powell OH 43065-6082 |
| Phone Number | 6147910799 |
| Gender | F |
| Credential | CP |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3831 Attucks Dr B, Powell, OH 43065-6082 | 6147910799 |
| Street Address |
3831 ATTUCKS DR B |
| City | POWELL |
| State | OH |
| Zip | 43065-6082 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Everhart | Internal Medicine | 3779 Attucks Dr, Powell, OH 43065-6080 | |
| Diane E Latimer | Psychologist, Clinical | 3843 B Attucks Dr, Powell, OH 43065-6082 | |
| San-san L Cooley | Optometry | Eyecare Professionals | 9711 Sawmill Pkwy C, Powell, OH 43065-6100 |
| Jason R Miller | Optometry | Eyecare Professionals | 9711 Sawmill Pkwy C, Powell, OH 43065-6100 |
| Diana L Milheim | Optometry | Eyecare Professionals | 9711 Sawmill Pkwy C, Powell, OH 43065-6100 |
| Tamara M Kuhlmann | Optometry | Eyecare Professionals | 9711 Sawmill Pkwy C, Powell, OH 43065-6100 |
| Tawny J Schwartz | Clinical Social Worker | 515 Village Park Dr, Powell, OH 43065-6607 | |
| Richard J Fuchs | Diagnostic Radiology | Radiology Incorporated | 10567 Sawmill Pkwy, Powell, OH 43065-6667 |
| Daniel Craig Subisak | Diagnostic Radiology | Radiology Incorporated | 10567 Sawmill Pkwy, Powell, OH 43065-6667 |
| Chad M Eagy | Chiropractic | 180 W Olentangy St, Suite A, Powell, OH 43065-6701 | |
| Find all physicians in zip 43065 | |||
| City | POWELL |
| Zip Code | 43065 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | POWELL + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Theresa R Diserio.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.