Goldstein, Diana Susan

Goldstein, Diana Susan is an sole proprietor health care provider with primary practice located at 200 S Michigan Ave Suite 710, Chicago IL 60604-2402. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Goldstein, Diana Susan can be contacted via phone (312) 212-1776.

Contact Information

Primary practice address
200 S Michigan Ave Suite 710 Chicago IL 60604-2402
Phone: (312) 212-1776
Fax: (312) 212-1778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20041441A Indiana
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 20041441A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041441A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041441A Indiana
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Illinois
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1982740684
LBN Legal business name Goldstein, Diana Susan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 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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