Diaz, Dayna M.V.

Diaz, Dayna M.V. is an sole proprietor health care provider with primary practice located at 1770 Old Spring House Ln Suite 114, Atlanta GA 30338-6213. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Diaz, Dayna M.V. can be contacted via phone (770) 452-5353.

Contact Information

Primary practice address
1770 Old Spring House Ln Suite 114 Atlanta GA 30338-6213
Phone: (770) 452-5353
Fax: (770) 452-5363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002970 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY002970 Georgia
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY002970 Georgia

Profile Details

NPI number 1679624100
LBN Legal business name Diaz, Dayna M.V.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Sep 10th, 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 1679624100 NPPES
Georgia Other 10059861 AMERIGROUP PROVIDER NUMBE
Georgia Other 103882 AMERIGROUP PROVIDER NUMBE

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