Koller, Diane Elise

Koller, Diane Elise is an sole proprietor health care provider with primary practice located at 599 Canal St , Lawrence MA 01840-1244. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koller, Diane Elise can be contacted via phone (978) 453-5736.

Contact Information

Primary practice address
599 Canal St Lawrence MA 01840-1244
Phone: (978) 453-5736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 116369 Massachusetts

Profile Details

NPI number 1801130992
LBN Legal business name Koller, Diane Elise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 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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