Smith, Diana Sue

Smith, Diana Sue is an individual health care provider with primary practice located at 6800 78Th Ave N , Brooklyn Park MN 55445-2758. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Diana Sue can be contacted via phone (612) 924-3807.

Contact Information

Primary practice address
6800 78Th Ave N Brooklyn Park MN 55445-2758
Phone: (612) 924-3807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003506577
LBN Legal business name Smith, Diana Sue
Credentials LADC, MA
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2023
Last updated May 9th, 2023 - about last year

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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