Gordick, Diana Holberg

Gordick, Diana Holberg is an individual health care provider with primary practice located at 150 E Ponce De Leon Ave Suite 350, Decatur GA 30030-2543. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Gordick, Diana Holberg can be contacted via phone (404) 985-2732.

Contact Information

Primary practice address
150 E Ponce De Leon Ave Suite 350 Decatur GA 30030-2543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2739 Georgia

Profile Details

NPI number 1356672331
LBN Legal business name Gordick, Diana Holberg
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2010
Last updated Nov 20th, 2014 - about 10 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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