Raymond, Diane M.

Raymond, Diane M. is an sole proprietor health care provider with primary practice located at 53 S Main St , Medford NJ 08055-2442. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Raymond, Diane M. can be contacted via phone (609) 923-7810.

Contact Information

Primary practice address
53 S Main St Medford NJ 08055-2442
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC00299900 New Jersey

Profile Details

NPI number 1467595108
LBN Legal business name Raymond, Diane M.
Credentials MA, ATR, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467595108 NPPES
New Jersey Other 3670176 AETNA
New Jersey MEDICAID 0043524 AETNA

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