Ellis, Diana A
Ellis, Diana A is an sole proprietor health care provider with primary practice located at 877 W Fremont Ave Ste K5 , Sunnyvale CA 94087-2319. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Diana A can be contacted via phone (408) 517-9835.Contact Information
Primary practice address
877 W Fremont Ave Ste K5
Sunnyvale CA 94087-2319
Phone: (408) 517-9835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS13911 | California |
Profile Details
| NPI number | 1346476546 |
|---|---|
| LBN Legal business name | Ellis, Diana A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Jun 3rd, 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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