Petersen, Diane
Petersen, Diane is an individual health care provider with primary practice located at 2020 Talley Rd , Leesburg FL 34748-3426. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Petersen, Diane can be contacted via phone (352) 315-7800.Contact Information
Primary practice address
2020 Talley Rd
Leesburg FL 34748-3426
Phone: (352) 315-7800
Fax: (352) 360-6582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | MH 9521 | Florida |
Profile Details
| NPI number | 1821227141 |
|---|---|
| LBN Legal business name | Petersen, Diane |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2009 |
| Last updated | Mar 19th, 2020 - about 4 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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