Depugh, Diana J

Depugh, Diana J is an sole proprietor health care provider with primary practice located at 4928 Homberg Dr Suie 4-A, Knoxville TN 37919-5100. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Depugh, Diana J can be contacted via phone (865) 748-4476.

Contact Information

Primary practice address
4928 Homberg Dr Suie 4-A Knoxville TN 37919-5100
Phone: (865) 748-4476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LDC00000086 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0000003551 Tennessee

Profile Details

NPI number 1619954609
LBN Legal business name Depugh, Diana J
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
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 1619954609 NPPES
Tennessee Other 1100250 CIGNA

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