SearchIndiana1041C0700X

Dianna Stallings

NPI 1922526144 · on the registry since 2017 · sole proprietor

Practice

Address
17 N 5th Ave # 1029
Beech Grove, IN 46107
Phone
(619) 302-3697
Organisation at this address
Heart Space Mental Health
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
WV, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-25

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 Indiana