Healthcare Provider Details

I. General information

NPI: 1245344993
Provider Name (Legal Business Name): DIANE K SHRIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 18TH ST NW #104
WASHINGTON DC
20009-2530
US

IV. Provider business mailing address

4000 CATHEDRAL AVE NW APT 317B
WASHINGTON DC
20016-5249
US

V. Phone/Fax

Practice location:
  • Phone: 202-667-9005
  • Fax:
Mailing address:
  • Phone: 202-965-2941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD19231
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: