Dinklage, David Kenneth
Dinklage, David Kenneth is an sole proprietor health care provider with primary practice located at 9 Court St Ste 2 , Arlington MA 02476-4817. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Dinklage, David Kenneth can be contacted via phone (781) 488-3600.Contact Information
Primary practice address
9 Court St Ste 2
Arlington MA 02476-4817
Phone: (781) 488-3600
Fax: (781) 488-3311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 4383 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4383 | Massachusetts |
Profile Details
| NPI number | 1447306782 |
|---|---|
| LBN Legal business name | Dinklage, David Kenneth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 23rd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447306782 | NPPES |
| Massachusetts | Other | W04388 | BLUE CROSS |
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