Delegard, Diane K.

Delegard, Diane K. is an individual health care provider with primary practice located at 2321 Stout Rd , Menomonie WI 54751-7003. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Delegard, Diane K. can be contacted via phone (715) 235-5531.

Contact Information

Primary practice address
2321 Stout Rd Menomonie WI 54751-7003
Phone: (715) 235-5531
Fax: (715) 233-7645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3022-125 Wisconsin

Profile Details

NPI number 1093746729
LBN Legal business name Delegard, Diane K.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1093746729 NPPES
Wisconsin MEDICAID 40992000

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