Dieffenbach, Thair R

Dieffenbach, Thair R is an sole proprietor health care provider with primary practice located at 13215 Spring Hill Dr , Spring Hill FL 34609-5054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dieffenbach, Thair R can be contacted via phone (352) 683-1842.

Contact Information

Primary practice address
13215 Spring Hill Dr Spring Hill FL 34609-5054
Phone: (352) 683-1842
Fax: (352) 683-0247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH0002734 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0002734 Florida

Profile Details

NPI number 1710111349
LBN Legal business name Dieffenbach, Thair R
Credentials LMHC, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2009
Last updated May 11th, 2009 - about 17 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 1710111349 NPPES
Florida Other Z4806 BCBS

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