Dickinson, Diane Y
Dickinson, Diane Y is an sole proprietor health care provider with primary practice located at 5541 Hwy 10 East, Suite B , Stevens Point WI 54481. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dickinson, Diane Y can be contacted via phone (715) 345-9690.Contact Information
Primary practice address
5541 Hwy 10 East, Suite B
Stevens Point WI 54481
Phone: (715) 345-9690
Fax: (745) 345-2938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1464-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2121-123 | Wisconsin |
Profile Details
| NPI number | 1881809028 |
|---|---|
| LBN Legal business name | Dickinson, Diane Y |
| Credentials | MA, LPC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| 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 | 1881809028 | NPPES |
| Wisconsin | MEDICAID | 39616500 |
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