Felton, Diane Kay
Felton, Diane Kay is an individual health care provider with primary practice located at 6120 Earle Brown Dr Suite 520, Brooklyn Center MN 55430-2123. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Felton, Diane Kay can be contacted via phone (763) 531-0566.Contact Information
Primary practice address
6120 Earle Brown Dr Suite 520
Brooklyn Center MN 55430-2123
Phone: (763) 531-0566
Fax: (763) 531-0602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1489 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LP1489 | Minnesota |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | LP1489 | Minnesota |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | LP1489 | Minnesota |
Profile Details
| NPI number | 1235200791 |
|---|---|
| LBN Legal business name | Felton, Diane Kay |
| Credentials | PHD, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Nov 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235200791 | NPPES |
| Minnesota | Other | 4H026FE | BLUECROSSBLUESHIELD |
| Minnesota | Other | 61-12600 | BLUECROSSBLUESHIELD |
| Minnesota | Other | 104655 | BLUECROSSBLUESHIELD |
| Minnesota | Other | HP35175 | BLUECROSSBLUESHIELD |
| Minnesota | MEDICAID | 193852500 | BLUECROSSBLUESHIELD |
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