Dinkel, Mary R.

Dinkel, Mary R. is an sole proprietor health care provider with primary practice located at 1801 Shadowwood Dr , College Station TX 77840-4846. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dinkel, Mary R. can be contacted via phone (979) 696-7241.

Contact Information

Primary practice address
1801 Shadowwood Dr College Station TX 77840-4846
Fax: (979) 693-5498
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2895LC Texas

Profile Details

NPI number 1962419093
LBN Legal business name Dinkel, Mary R.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962419093 NPPES
Texas Other 2895LC BLUE CROSS BLUE SHIELD

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