Feldman, Diane C Whitley

Feldman, Diane C Whitley is an individual health care provider with primary practice located at 4083 Sunnyside Rd , Edina MN 55424-1245. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Feldman, Diane C Whitley can be contacted via phone (952) 926-2777.

Contact Information

Primary practice address
4083 Sunnyside Rd Edina MN 55424-1245
Phone: (952) 926-2777
Fax: (952) 926-2777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0806 Minnesota

Profile Details

NPI number 1144221243
LBN Legal business name Feldman, Diane C Whitley
Credentials PH.DL
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Sep 10th, 2008 - about 16 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 1144221243 NPPES
Minnesota Other LP0806 MN BOARD OF PSYCH LICENSE
Minnesota Other 04420FE MN BOARD OF PSYCH LICENSE

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