Male or Other

Kenneth A. Diamond PH.D.

Psychologist in Mequon, WI(View on Map)

Full Name

Kenneth Arthur Diamond PH.D.

NPI Number

1699969154

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/28/2007

Specialties

(Taxonomies)

Code

103T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1317 TOWNE SQUARE ROAD
1317 TOWNE SQUARE RD.

City

Mequon
Mequon

State

WI
WI

Postal Code

53092
53092

Country

US
US

Telephone Number

(262) 241-5099
(262) 241-5099

Identifiers

Identifier

39209100

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/16/2007

Provider Address

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