Courson, Diana

Courson, Diana is an individual health care provider with primary practice located at 17567 S Dixie Hwy , Miami FL 33157-5435. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Courson, Diana can be contacted via phone (786) 293-9544.

Contact Information

Primary practice address
17567 S Dixie Hwy Miami FL 33157-5435
Phone: (786) 293-9544
Fax: (786) 293-9594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1508808148
LBN Legal business name Courson, Diana
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated May 18th, 2016 - about 9 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 1508808148 NPPES
Florida MEDICAID 320071000

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