| Lorraine D. Diston Psyd.,pa | |
|
10305 Nw 41st St Suite 202 Doral FL 33178-2396 | |
| (305) 905-3794 | |
| (305) 829-2284 |
| Full Name | Lorraine D. Diston Psyd.,pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10305 Nw 41st St, Doral, Florida |
| Authorized Official Name and Position | Lorraine D Diston (OWNER) |
| Authorized Official Contact | 3059053794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine D. Diston Psyd.,pa 7324 Bay Hill Dr Hialeah FL 33015-2208 Ph: (305) 905-3794 | Lorraine D. Diston Psyd.,pa 10305 Nw 41st St Suite 202 Doral FL 33178-2396 Ph: (305) 905-3794 |
| NPI Number | 1356757082 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356757082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4470 (Florida) | Primary |
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