Smith, Diane M.

Smith, Diane M. is an sole proprietor health care provider with primary practice located at 16960 Bastanchury Rd Suite J, Yorba Linda CA 92886-1711. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Smith, Diane M. can be contacted via phone (714) 449-2444.

Contact Information

Primary practice address
16960 Bastanchury Rd Suite J Yorba Linda CA 92886-1711
Phone: (714) 449-2444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 33630 California

Profile Details

NPI number 1225110380
LBN Legal business name Smith, Diane M.
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
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 1225110380 NPPES
California Other MFC 33630 MARRIAGE AND FAMILY LICEN

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