Carlson, Diane L
Carlson, Diane L is an individual health care provider with primary practice located at 115 Main St Ste 2D , North Easton MA 02356-1469. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carlson, Diane L can be contacted via phone (508) 238-7766.Contact Information
Primary practice address
115 Main St Ste 2D
North Easton MA 02356-1469
Phone: (508) 238-7766
Fax: (508) 230-5089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 100478 | Massachusetts |
Profile Details
| NPI number | 1538104575 |
|---|---|
| LBN Legal business name | Carlson, Diane L |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Oct 18th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538104575 | NPPES |
| Massachusetts | Other | 761754 | TUFTS HEALTH PLAN |
| Massachusetts | Other | PO1190 | TUFTS HEALTH PLAN |
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