Peters, Diane
Peters, Diane is an sole proprietor health care provider with primary practice located at 218 N Main St , Bryan OH 43506-1318. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peters, Diane can be contacted via phone (419) 630-0211.Contact Information
Primary practice address
218 N Main St
Bryan OH 43506-1318
Phone: (419) 630-0211
Fax: (419) 630-0211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | #5137 | Ohio |
Profile Details
| NPI number | 1902891047 |
|---|---|
| LBN Legal business name | Peters, Diane |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1902891047 | NPPES |
| Ohio | MEDICAID | 0308250 |
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