Mayer, Diana

Mayer, Diana is an individual health care provider with primary practice located at 610 E Diamond Ave Suite 100A, Gaithersburg MD 20877-5321. 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. Mayer, Diana can be contacted via phone (301) 840-3200.

Contact Information

Primary practice address
610 E Diamond Ave Suite 100A Gaithersburg MD 20877-5321
Phone: (301) 840-3200
Fax: (301) 840-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LGM410 Maryland

Profile Details

NPI number 1639439524
LBN Legal business name Mayer, Diana
Credentials LGMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated May 24th, 2012 - about 13 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 1639439524 NPPES
Maryland MEDICAID 816700100

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