Michalczuk, Diana
Michalczuk, Diana is an individual health care provider with primary practice located at 357 Shields Dr , Bennington VT 05201-9810. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Michalczuk, Diana can be contacted via phone (802) 447-1409.Contact Information
Primary practice address
357 Shields Dr
Bennington VT 05201-9810
Phone: (802) 447-1409
Fax: (802) 442-5199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 048.0086156 | Vermont |
Profile Details
| NPI number | 1760631774 |
|---|---|
| LBN Legal business name | Michalczuk, Diana |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Jun 28th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760631774 | NPPES |
| Vermont | Other | 003006801 | MEDICARE PTAN |
| Vermont | Other | P01173650 | MEDICARE PTAN |
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