Ivory, Diana
Ivory, Diana is an individual health care provider with primary practice located at 1188 N Euclid St Ste 500 , Anaheim CA 92801-1900. 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. Ivory, Diana can be contacted via phone (714) 644-6480.Contact Information
Primary practice address
1188 N Euclid St Ste 500
Anaheim CA 92801-1900
Phone: (714) 644-6480
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT52532 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF 49008 | California |
Profile Details
NPI number | 1255455564 |
---|---|
LBN Legal business name | Ivory, Diana |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2007 |
Last updated | Sep 10th, 2018 - about 7 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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