| Kathleen Diehl Lmsw Llc | |
|
1945 Pauline Blvd Ste 10 Ann Arbor MI 48103-5047 | |
| (734) 476-0528 | |
| Not Available |
| Full Name | Kathleen Diehl Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1945 Pauline Blvd Ste 10, Ann Arbor, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Diehl Lmsw Llc 1945 Pauline Blvd Ste 10 Ann Arbor MI 48103-5047 Ph: () - | Kathleen Diehl Lmsw Llc 1945 Pauline Blvd Ste 10 Ann Arbor MI 48103-5047 Ph: (734) 476-0528 |
| NPI Number | 1841049632 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 5193167575 |
|---|---|
| Medicare Enrollment ID | O20240530003166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841049632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kathleen Ann Diehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538388699 PECOS PAC ID: 3870677743 Enrollment ID: I20080303000102 |
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