Wightman, Diana Christine
Wightman, Diana Christine is an sole proprietor health care provider with primary practice located at 260 Maple Ct Suite 250, Ventura CA 93003-3516. 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. Wightman, Diana Christine can be contacted via phone (805) 302-5335.Contact Information
Primary practice address
260 Maple Ct Suite 250
Ventura CA 93003-3516
Phone: (805) 302-5335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 50000 | California |
Profile Details
| NPI number | 1083761225 |
|---|---|
| LBN Legal business name | Wightman, Diana Christine |
| Credentials | M.A., LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Sep 3rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083761225 | NPPES |
| California | Other | 1508 | MEDI-CAL |
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