Caillouet, Diana Gail

Caillouet, Diana Gail is an sole proprietor health care provider with primary practice located at 2530 Scottsville Rd 22, Bowling Green KY 42104-6509. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Caillouet, Diana Gail can be contacted via phone (270) 782-6121.

Contact Information

Primary practice address
2530 Scottsville Rd 22 Bowling Green KY 42104-6509
Fax: (270) 842-2734
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0060 Kentucky

Profile Details

NPI number 1245396738
LBN Legal business name Caillouet, Diana Gail
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Mar 21st, 2016 - about 10 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 1245396738 NPPES
Kentucky MEDICAID 7100344610
Kentucky Other KY-0060

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