Diddams, Alexandra Pauline
Diddams, Alexandra Pauline is an sole proprietor health care provider with primary practice located at 1303 San Carlos Ave , San Carlos CA 94070-2317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Diddams, Alexandra Pauline can be contacted via phone (650) 439-0620.Contact Information
Primary practice address
1303 San Carlos Ave
San Carlos CA 94070-2317
Phone: (650) 439-0620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY31951 | California |
Profile Details
| NPI number | 1295325652 |
|---|---|
| LBN Legal business name | Diddams, Alexandra Pauline |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2021 |
| Last updated | Jan 20th, 2021 - about 4 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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