Taylor, Bethany Diedrich
Taylor, Bethany Diedrich is an individual health care provider with primary practice located at 99 Water St Unit 204 , Warren RI 02885-3084. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Taylor, Bethany Diedrich can be contacted via phone (401) 556-9044.Contact Information
Primary practice address
99 Water St Unit 204
Warren RI 02885-3084
Phone: (401) 556-9044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW03284 | Rhode Island |
Profile Details
| NPI number | 1831605310 |
|---|---|
| LBN Legal business name | Taylor, Bethany Diedrich |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2017 |
| Last updated | Jul 13th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831605310 | NPPES |
| Rhode Island | Other | ISW03284 | ASSOCIATION OF SOCIAL WORK BOARD |
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