Brown, Diane Hazelton

Brown, Diane Hazelton is an sole proprietor health care provider with primary practice located at 35 Salinas Ave , San Anselmo CA 94960-1642. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brown, Diane Hazelton can be contacted via phone (415) 482-8000.

Contact Information

Primary practice address
35 Salinas Ave San Anselmo CA 94960-1642
Phone: (415) 482-8000
Fax: (415) 454-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16470 California

Profile Details

NPI number 1033313283
LBN Legal business name Brown, Diane Hazelton
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033313283 NPPES
California Other PSY16470 LICENSE NUMBER

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