Hoekstra, Diane Marie
Hoekstra, Diane Marie is an sole proprietor health care provider with primary practice located at 10721 Main St Ste 2350 , Fairfax VA 22030-6913. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hoekstra, Diane Marie can be contacted via phone (703) 591-5912.Contact Information
Primary practice address
10721 Main St Ste 2350
Fairfax VA 22030-6913
Phone: (703) 591-5912
Fax: (703) 581-7210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0810001946 | Virginia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810001946 | Virginia |
Profile Details
| NPI number | 1023169406 |
|---|---|
| LBN Legal business name | Hoekstra, Diane Marie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Aug 18th, 2015 - about 11 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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