Provider Demographics
NPI:1023857570
Name:THE DIVERSITY SCHOOL
Entity type:Organization
Organization Name:THE DIVERSITY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WANZER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCPC
Authorized Official - Phone:240-427-5547
Mailing Address - Street 1:509 QUINCE ORCHARD RD # 129
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1435
Mailing Address - Country:US
Mailing Address - Phone:240-427-5547
Mailing Address - Fax:
Practice Address - Street 1:509 QUINCE ORCHARD RD # 129
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1435
Practice Address - Country:US
Practice Address - Phone:240-427-5547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable