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Contact Information

DIANE BINGHAM
464 N 300 E
BASEMENT
LOGAN, UT84321-4117
 Phone: 208-650-8362
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for DIANE BINGHAM · (Female)

NPI Number 1376825364
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2011
Last updated 09/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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