Diaz, Sandra E
Diaz, Sandra E is an individual health care provider with primary practice located at 500 Foothill Dr 116/Op, Salt Lake City UT 84148-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Diaz, Sandra E can be contacted via phone (909) 267-5238.Contact Information
Primary practice address
500 Foothill Dr 116/Op
Salt Lake City UT 84148-0001
Phone: (909) 267-5238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9688868-2501 | Utah |
Profile Details
| NPI number | 1679648380 |
|---|---|
| LBN Legal business name | Diaz, Sandra E |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Aug 1st, 2016 - about 10 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 | 1679648380 | NPPES |
| California | Other | 11705929 | CAQH |
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