Healthcare Provider Details

I. General information

NPI: 1609737931
Provider Name (Legal Business Name): MAIRE CLAIRE DIEMER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 FABER PLACE DR STE 110
NORTH CHARLESTON SC
29405-8585
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500 STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 843-501-1099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1955
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: