Diffendal, Laura Jean

Diffendal, Laura Jean is an individual health care provider with primary practice located at 20525 Center Ridge Rd Ste 520 , Rocky River OH 44116-3424. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Diffendal, Laura Jean can be contacted via phone (216) 978-1924.

Contact Information

Primary practice address
20525 Center Ridge Rd Ste 520 Rocky River OH 44116-3424
Phone: (216) 978-1924
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X E4139 Ohio

Profile Details

NPI number 1679770614
LBN Legal business name Diffendal, Laura Jean
Credentials PCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Sep 17th, 2010 - about 16 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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