Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 1738 | KS |
Y | 103TH0004X | Health Psychologist | 1738 | KS |
N | 103TH0100X | Health Service | 1738 | KS |
N | 103TR0400X | Rehabilitation Psychologist | 1738 | KS |
NPI | 1225250962 |
---|---|
Provider Name | Dr. Kalyn Diamond |
First Address | Topeka, KS 66606-4600 |
Second Address | Topeka, KS 66606-4600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 16/12/2020 |