DR. Diane C Garrison, PHD

NPI #1427115716 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1427115716
Entity Type: Individual
Name: DR. Diane C Garrison, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Jan 3, 2007
Last Updated: Jul 18, 2008

Practice Location

Address: 325 FOREST GROVE DR
Address 2: SUITE 201
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-3793
Phone: (262) 547-9673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist	103T00000X

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