Waldo, Diane
Waldo, Diane is an sole proprietor health care provider with primary practice located at 8 Washington Pl , Braintree MA 02184-3258. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waldo, Diane can be contacted via phone (781) 843-2232.Contact Information
Primary practice address
8 Washington Pl
Braintree MA 02184-3258
Phone: (781) 843-2232
Fax: (781) 274-8453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106125 | Massachusetts |
Profile Details
| NPI number | 1750460580 |
|---|---|
| LBN Legal business name | Waldo, Diane |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750460580 | NPPES |
| Massachusetts | Other | PO3981 | BLUECROSS/BLUESHIELD |
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