Smith, Diane Elizabeth

Smith, Diane Elizabeth is an sole proprietor health care provider with primary practice located at 1010 E 10Th St , Tucson AZ 85719-5813. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Smith, Diane Elizabeth can be contacted via phone (520) 225-6000.

Contact Information

Primary practice address
1010 E 10Th St Tucson AZ 85719-5813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X LCSW-10554 Arizona

Profile Details

NPI number 1831217660
LBN Legal business name Smith, Diane Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 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 1831217660 NPPES
Arizona MEDICAID 777469

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