Mathisen, Diane

Mathisen, Diane is an individual health care provider with primary practice located at 6860 Shingle Creek Pkwy Suite 116, Brooklyn Center MN 55430-1411. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mathisen, Diane can be contacted via phone (763) 560-4860.

Contact Information

Primary practice address
6860 Shingle Creek Pkwy Suite 116 Brooklyn Center MN 55430-1411
Phone: (763) 560-4860
Fax: (763) 503-1430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13087 Minnesota

Profile Details

NPI number 1821194085
LBN Legal business name Mathisen, Diane
Credentials MSW,LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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