Diane, Sally
Diane, Sally is an sole proprietor health care provider with primary practice located at 79100 Kristen Ct , La Quinta CA 92253-7205. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Diane, Sally can be contacted via phone (760) 777-0167.Contact Information
Primary practice address
79100 Kristen Ct
La Quinta CA 92253-7205
Phone: (760) 777-0167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 44515 | California |
Profile Details
| NPI number | 1114162047 |
|---|---|
| LBN Legal business name | Diane, Sally |
| Credentials | ED.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2008 |
| Last updated | Jun 16th, 2010 - about 14 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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