Larson, Diane Averill
Larson, Diane Averill is an sole proprietor health care provider with primary practice located at 2101 E Broadway Rd Ste 4 , Tempe AZ 85282-1735. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Larson, Diane Averill can be contacted via phone (602) 695-7549.Contact Information
Primary practice address
2101 E Broadway Rd Ste 4
Tempe AZ 85282-1735
Phone: (602) 695-7549
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1740772052 |
|---|---|
| LBN Legal business name | Larson, Diane Averill |
| Credentials | M.S.C., M.F..T |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2018 |
| Last updated | Jun 1st, 2018 - about 8 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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