Boll, Diane Marie

Boll, Diane Marie is an individual health care provider with primary practice located at 710 Rimpau Ave Suite 104 , Corona CA 92879. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boll, Diane Marie can be contacted via phone (951) 377-2138.

Contact Information

Primary practice address
710 Rimpau Ave Suite 104 Corona CA 92879
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17101 California

Profile Details

NPI number 1417001983
LBN Legal business name Boll, Diane Marie
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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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