Young, Dianne A.

Young, Dianne A. is an sole proprietor health care provider with primary practice located at 935 Main St C1, Safety Harbor FL 34695-3479. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Young, Dianne A. can be contacted via phone (727) 421-2617.

Contact Information

Primary practice address
935 Main St C1 Safety Harbor FL 34695-3479
Phone: (727) 421-2617
Fax: (727) 216-6346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1610 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X SW9340 Florida

Profile Details

NPI number 1609812395
LBN Legal business name Young, Dianne A.
Credentials L.C.S.W.; M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Sep 13th, 2016 - about 10 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 1609812395 NPPES
Kentucky MEDICAID 82000753

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