Diane Van Cornewal, LCSW LISAC

NPI 1821437500 · on the registry since 2013 · sole proprietor

Practice

Address: 1215 N Beaver St
Flagstaff Medical Center
Flagstaff, AZ 86001
Phone: (928) 213-6415
Fax: (928) 213-6409
Organisation at this address: Southwest Heart And Lung Flagstaff
Northern Arizona Healthcare Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 44

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YA0400X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona