Bryan, Diane Hardwick

Bryan, Diane Hardwick is an individual health care provider with primary practice located at 851 Gomez Rd , El Paso TX 79932-4205. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bryan, Diane Hardwick can be contacted via phone (915) 585-3884.

Contact Information

Primary practice address
851 Gomez Rd El Paso TX 79932-4205
Phone: (915) 585-3884
Fax: (915) 581-6708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 62311 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7697 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3432 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0039 New Mexico

Profile Details

NPI number 1932488921
LBN Legal business name Bryan, Diane Hardwick
Credentials MPS, PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Oct 16th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932488921 NPPES
New Mexico MEDICAID 14324059

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