Diak, Kathleen
Diak, Kathleen is an individual health care provider with primary practice located at 1010 Las Lomas Rd Ne Suite 4, Albuquerque NM 87102-2634. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Diak, Kathleen can be contacted via phone (505) 246-8700.Contact Information
Primary practice address
1010 Las Lomas Rd Ne Suite 4
Albuquerque NM 87102-2634
Phone: (505) 246-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-05922 | New Mexico |
Profile Details
| NPI number | 1124063524 |
|---|---|
| LBN Legal business name | Diak, Kathleen |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124063524 | NPPES |
| New Mexico | Other | M-05922 | NM SOCIAL WORK LICENSE |
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