Kerry Diener, MS

NPI #1790392322 in Larkspur, Colorado

Provider Information

NPI Number: 1790392322
Entity Type: Individual
Name: Kerry Diener, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: MS
Enumeration Date: Sep 28, 2020
Last Updated: Sep 28, 2020

Practice Location

Address: 7091 BOREAS RD
City: Larkspur
State: Colorado
ZIP Code: 80118-8102
Phone: (303) 667-9792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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