Diane Johnson Prosser, PHD , LLC
Diane Johnson Prosser, PHD , LLC is a Clinical Psychologist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2016.
- Licensed in
- IN
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
227 N Dixie Way Ste 110South Bend, IN 46637-3385
Phone: (574) 850-8486
Fax: (574) 966-1580
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 20040993 (IN) |
|---|
Record details
| NPI number | 1508213844 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diane Prosser — Sole Proprietor · (574) 850-8486 |
| NPI enumerated | May 17, 2016 |
| Last updated in NPPES | May 17, 2016 |
| Mailing address | 227 N Dixie Way, Suite 110, South Bend, IN 46637-3385 |
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