MEDICARE: MRS. DIANE ELAINE BIGLER LCSW

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2008005530	MO
2	1041C0700X	Clinical Social Worker	3885	KS

General Provider Information

NPI Number	:	1366673873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE ELAINE BIGLER LCSW

Provider Business Mailing Address
First Line	:	7108 N BRISTOL AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-5326
Country	:	US
Telephone Number	:	816-550-3069
Fax Number	:

Provider Business Practice Location Address
First Line	:	7108 N BRISTOL AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-5326
Country	:	US
Telephone Number	:	816-550-3069
Fax Number	:

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

Provider Enumeration Date	:	07/31/2009
Last Update Date	:	07/31/2009

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