Abdo, Diane

Abdo, Diane is an individual health care provider with primary practice located at 1309 Jamestown Rd Ste. 101, Williamsburg VA 23185-3380. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abdo, Diane can be contacted via phone (757) 220-8800.

Contact Information

Primary practice address
1309 Jamestown Rd Ste. 101 Williamsburg VA 23185-3380
Fax: (757) 220-8811
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810-001755 Virginia

Profile Details

NPI number 1538250931
LBN Legal business name Abdo, Diane
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538250931 NPPES
Virginia MEDICAID 5400236

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