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Contact Information

DIANE CLODI, LPC
4240 FLORIAN AVENUE
BUILDING 1
MESA, AZ85206
 Phone: 480-844-1653
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for DIANE CLODI · (Female)

NPI # 1063529147
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 08/24/2006
Last updated 06/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 5439T
  • IL License # 108005379
  • IL Other 1634997 BCBS NUMBER
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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