Theiss, Diana Lynn

Theiss, Diana Lynn is an sole proprietor health care provider with primary practice located at 5800 Monroe St Ste A1 , Sylvania OH 43560-2208. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Theiss, Diana Lynn can be contacted via phone (419) 276-3556.

Contact Information

Primary practice address
5800 Monroe St Ste A1 Sylvania OH 43560-2208
Phone: (419) 276-3556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X I.0900183-SUPV Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-0900183-SUPV Ohio

Profile Details

NPI number 1265722813
LBN Legal business name Theiss, Diana Lynn
Credentials PH.D., LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2011
Last updated Mar 2nd, 2023 - about 3 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 1265722813 NPPES
Ohio MEDICAID 0155198

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