Widiss, Tanya

Widiss, Tanya is an sole proprietor health care provider with primary practice located at 444 E. Huntington Drive #333, Arcadia CA 91006-6204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Dietitian, Registered. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Widiss, Tanya can be contacted via phone (626) 447-0247.

Contact Information

Primary practice address
444 E. Huntington Drive #333 Arcadia CA 91006-6204
Phone: (626) 447-0247
Fax: (626) 447-1443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC23731 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X R366197

Profile Details

NPI number 1902016140
LBN Legal business name Widiss, Tanya
Credentials R.D., M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated May 22nd, 2012 - about 12 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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