Healthcare Provider Details

I. General information

NPI: 1518167055
Provider Name (Legal Business Name): DIANE H. ZERBE M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 1ST AVE SUITE 600A
SEATTLE WA
98101-2498
US

IV. Provider business mailing address

1932 1ST AVE SUITE 600A
SEATTLE WA
98101-2498
US

V. Phone/Fax

Practice location:
  • Phone: 206-441-6399
  • Fax: 206-325-0080
Mailing address:
  • Phone: 206-441-6399
  • Fax: 206-325-0080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00004685
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: