Mccutcheon, Diana Jean

Mccutcheon, Diana Jean is an individual health care provider with primary practice located at 18714 N Village , Hagerstown MD 21742-2454. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccutcheon, Diana Jean can be contacted via phone (301) 733-0331.

Contact Information

Primary practice address
18714 N Village Hagerstown MD 21742-2454
Phone: (301) 733-0331
Fax: (301) 733-4038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13448 Maryland

Profile Details

NPI number 1902878960
LBN Legal business name Mccutcheon, Diana Jean
Credentials LCSWC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 18th, 2010 - about 15 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 1902878960 NPPES
Maryland MEDICAID 986965400

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