Medina, Diana

Medina, Diana is an sole proprietor health care provider with primary practice located at 11011 S 48Th St Ste 200 , Phoenix AZ 85044-1788. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Medina, Diana can be contacted via phone (602) 900-9550.

Contact Information

Primary practice address
11011 S 48Th St Ste 200 Phoenix AZ 85044-1788
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1760886121
LBN Legal business name Medina, Diana
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2014
Last updated Dec 14th, 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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