Diane Lynn Baytosh
Individual provider Active NPI Peer Specialist · Boardman, OH
NPI 1700344322 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1700344322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 423 Melbourne Ave
Boardman, OH 44512-4411 - Phone
- (330) 507-1289
- NPI assigned
- Mar 4, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
423 Melbourne Ave
Boardman, OH 44512-4411
Mailing address
423 Melbourne Ave
Boardman, OH 44512-4411
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. 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.