Wilson, Dianne Marie

Wilson, Dianne Marie is an individual health care provider with primary practice located at 1617 E Milham Aver Suite B, Portage MI 49002. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wilson, Dianne Marie can be contacted via phone (269) 303-5931.

Contact Information

Primary practice address
1617 E Milham Aver Suite B Portage MI 49002
Phone: (269) 303-5931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1255495628
LBN Legal business name Wilson, Dianne Marie
Credentials BHU-HS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jan 13th, 2017 - about 9 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.

Request for update

Popular Providers