Wall, Diana Lee

Wall, Diana Lee is an individual health care provider with primary practice located at 1217 E College St , Broken Arrow OK 74012-4204. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wall, Diana Lee can be contacted via phone (918) 259-1462.

Contact Information

Primary practice address
1217 E College St Broken Arrow OK 74012-4204
Phone: (918) 259-1462
Fax: (918) 259-1444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6542 Oklahoma

Profile Details

NPI number 1154847663
LBN Legal business name Wall, Diana Lee
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2017
Last updated Jul 21st, 2022 - about 4 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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