Bruss, Dianna Leigh

Bruss, Dianna Leigh is an individual health care provider with primary practice located at 2300 Riverside Dr Ste 124 , Green Bay WI 54301-1900. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bruss, Dianna Leigh can be contacted via phone (920) 309-6861.

Contact Information

Primary practice address
2300 Riverside Dr Ste 124 Green Bay WI 54301-1900
Phone: (920) 309-6861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4111-125 Wisconsin

Profile Details

NPI number 1871642744
LBN Legal business name Bruss, Dianna Leigh
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Apr 14th, 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 1871642744 NPPES
Wisconsin MEDICAID 1871642744
Wisconsin MEDICAID 100001117

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