O'Brien, Dina P.

O'Brien, Dina P. is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. O'Brien, Dina P. can be contacted via phone (706) 721-2191.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-2191
Fax: (706) 721-4920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY61072498 Washington
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY002668 Georgia

Profile Details

NPI number 1770682858
LBN Legal business name O'Brien, Dina P.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 28th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770682858 NPPES
Georgia MEDICAID 680820190A
Georgia MEDICAID PS0364

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