Davis, Diann Therese

Davis, Diann Therese is an individual health care provider with primary practice located at 2350 Green Rd Ste 160 , Ann Arbor MI 48105-1572. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Diann Therese can be contacted via phone (734) 285-8282.

Contact Information

Primary practice address
2350 Green Rd Ste 160 Ann Arbor MI 48105-1572
Phone: (734) 285-8282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801061612 Michigan

Profile Details

NPI number 1336183540
LBN Legal business name Davis, Diann Therese
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 18th, 2023 - about last year

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 1336183540 NPPES
New York MEDICAID 01420795

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