MEDICARE: DIAMONTE A STINEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	146D00000X	Personal Emergency Response Attendant	DC
2	103TA0700X	Adult Development & Aging Psychologist
3	103TA0700X	Adult Development & Aging Psychologist	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992435028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIAMONTE A STINEY

Provider Business Mailing Address
First Line	:	1502 EATON RD SE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5938
Country	:	US
Telephone Number	:	202-360-2903
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 EATON RD SE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5938
Country	:	US
Telephone Number	:	202-360-2903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2022
Last Update Date	:	06/13/2022

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Directions to “ DIAMONTE A STINEY ” Practice Location

Language	Start Address	Practice Location

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