Dimock, Ann Wagner
Dimock, Ann Wagner is an sole proprietor health care provider with primary practice located at 9659 Balboa Blvd , Northridge CA 91325-1902. 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. Dimock, Ann Wagner can be contacted via phone (818) 349-1401.Contact Information
Primary practice address
9659 Balboa Blvd
Northridge CA 91325-1902
Phone: (818) 349-1401
Fax: (818) 988-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC23900 | California |
Profile Details
| NPI number | 1013073196 |
|---|---|
| LBN Legal business name | Dimock, Ann Wagner |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2006 |
| 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.
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