Mead, Diane R
Mead, Diane R is an individual health care provider with primary practice located at 2727 San Pedro Dr Ne Ste 105, Albuquerque NM 87110-3373. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mead, Diane R can be contacted via phone (505) 232-8404.Contact Information
Primary practice address
2727 San Pedro Dr Ne Ste 105
Albuquerque NM 87110-3373
Phone: (505) 232-8404
Fax: (505) 884-1625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0922 | New Mexico |
Profile Details
| NPI number | 1366430373 |
|---|---|
| LBN Legal business name | Mead, Diane R |
| Credentials | MSW, LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Oct 11th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366430373 | NPPES |
| New Mexico | Other | NMB2204 | MEDICARE PROVIDER # |
| New Mexico | MEDICAID | 95616 | MEDICARE PROVIDER # |
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