Diane Louise Gilbreath, LMFT
Individual provider Active NPI Marriage & Family Therapist · FBKS, AK
NPI 1356478366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356478366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- AA91 (AK)
- Practice address
- 600 University Ave Ste 2
FBKS, AK 99709 - Phone
- (907) 374-4410
- Fax
- (907) 374-9801
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA91 | AK | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AA91 | AK | Yes |
Addresses
Primary practice location
600 University Ave Ste 2
FBKS, AK 99709
Mailing address
PO Box 10048
FBKS, AK 99710
Phone (907) 457-3363
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.