Wetzig, Diane L
Wetzig, Diane L is an individual health care provider with primary practice located at 3690 Orange Pl Ste 430, Beachwood OH 44122-4464. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wetzig, Diane L can be contacted via phone (216) 464-5330.Contact Information
Primary practice address
3690 Orange Pl Ste 430
Beachwood OH 44122-4464
Phone: (216) 464-5330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4446 | Ohio |
Profile Details
| NPI number | 1467413187 |
|---|---|
| LBN Legal business name | Wetzig, Diane L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Dec 10th, 2013 - about 11 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 | 1467413187 | NPPES |
| Ohio | MEDICAID | 0903802 | |
| Ohio | Other | 34174188300 |
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