Dr. Diane Marie Agresta
Psychologist Family Psychologist Clinical Psychologist Group Psychotherapist and 3 more
321 S Main St Suite 209
Ann Arbor
, Michigan 48104-2117
Dr. Diane Marie Agresta
Psychologist Family Psychologist Clinical Psychologist Group Psychotherapist and 3 more
321 S Main St Suite 209
Ann Arbor
, Michigan 48104-2117
(734) 665-9890
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About
Features
Specialties
- Psychologist
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Diane Marie Agresta
- 321 S Main St Suite 209
- Ann Arbor, MI
- Zip : 48104-2117
- Phone : (734) 665-9890
Second Address
- Dr. Diane Marie Agresta
- 321 S Main St Suite 209
- Ann Arbor, MI
- Zip : 48104-2117
- Phone : (734) 665-9890
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 6301002761 | MI |
| N | 103T00000X | Psychologist | 6301002761 | MI |
| N | 103TA0700X | Adult Development & Aging Psychologist | 6301002761 | MI |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301002761 | MI |
| Y | 103G00000X | Clinical Psychologist | 6301002761 | MI |
| Y | 103TC0700X | Clinical Psychologist | 6301002761 | MI |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301002761 | MI |
| N | 103TF0000X | Family Psychologist | 6301002761 | MI |
| N | 103TP2701X | Group Psychotherapist | 6301002761 | MI |
National Provider Identifier
| NPI | 1114973310 |
|---|---|
| Provider Name | Dr. Diane Marie Agresta |
| First Address | Ann Arbor, MI 48104-2117 |
| Second Address | Ann Arbor, MI 48104-2117 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 10/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 620H14705 | BXBS PROVIDER NUMBER (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.