Dworkin, Diane C

Dworkin, Diane C is an individual health care provider with primary practice located at 3080 La Selva St , San Mateo CA 94403-2109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dworkin, Diane C can be contacted via phone (650) 573-2615.

Contact Information

Primary practice address
3080 La Selva St San Mateo CA 94403-2109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS12625 California

Profile Details

NPI number 1093846230
LBN Legal business name Dworkin, Diane C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 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.

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