Grayer, Dianna Lynnette

Grayer, Dianna Lynnette is an sole proprietor health care provider with primary practice located at 7 4Th St Suite 42, Petaluma CA 94952-3043. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Grayer, Dianna Lynnette can be contacted via phone (707) 769-1853.

Contact Information

Primary practice address
7 4Th St Suite 42 Petaluma CA 94952-3043
Phone: (707) 769-1853
Fax: (707) 793-9840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 33934 California

Profile Details

NPI number 1649328865
LBN Legal business name Grayer, Dianna Lynnette
Credentials MA, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 18 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 1649328865 NPPES
California MEDICAID MFT 33934

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