Rotnem, Diane Louise

Rotnem, Diane Louise is an individual health care provider with primary practice located at 1406 6Th Avenue North St. Cloud Hospital, St. Cloud MN 56303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rotnem, Diane Louise can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1406 6Th Avenue North St. Cloud Hospital St. Cloud MN 56303
Fax: (320) 229-5109
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000535 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X AP08-992 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19567 Minnesota

Profile Details

NPI number 1891902979
LBN Legal business name Rotnem, Diane Louise
Credentials PHD, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 6th, 2009 - about 15 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 1891902979 NPPES
Connecticut Other 14000535CT 01 ANTHEM PROVIDER ID

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