Spink, Diane Lydia

Spink, Diane Lydia is an individual health care provider with primary practice located at 4446 Golf View Dr , Brighton MI 48116-9190. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Spink, Diane Lydia can be contacted via phone (267) 614-5323.

Contact Information

Primary practice address
4446 Golf View Dr Brighton MI 48116-9190
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CW010446L Pennsylvania

Profile Details

NPI number 1841432192
LBN Legal business name Spink, Diane Lydia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Mar 18th, 2016 - about 9 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 1841432192 NPPES
Pennsylvania MEDICAID 1007762890001

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