Dyan Gale Kolb is a Clinical in Culver City, California. Dyan Gale Kolb practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dyan Gale Kolb is 1235352683. The last update date is 2014-09-24.
Dyan Gale Kolb's current location address is 4055 La Salle Ave # 2, Culver City, California. You can contact this provider via phone number 3102221634. The mailing address for Dyan Gale Kolb is 4055 La Salle Ave # 2, Culver City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dyan Gale Kolb |
|---|---|
| Address | 4055 La Salle Ave # 2, Culver City, California |
| Phone Number | 3102221634 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235352683 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2014-09-24 |
Provider Mailing Address Detail
| Address | 4055 La Salle Ave # 2 |
|---|---|
| City | Culver City |
| State | California (CA) |
| Post Code | 902323207 |
| Phone Number | 3102221634 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 27767 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Dyan Gale Kolb by the Centers for Medicare & Medicaid Services?
The Dyan Gale Kolb has been assigned the NPI (National Provider Identifier) 1235352683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Dyan Gale Kolb's facilities are situated?
The facilities of Dyan Gale Kolb are physically located at the following address: 4055 La Salle Ave # 2, Culver City, CA, 902323207.
What is the Dyan Gale Kolb's area of specialization and corresponding taxonomy classification?
The Dyan Gale Kolb's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235352683 to Dyan Gale Kolb?
The Centers for Medicare & Medicaid Services originally issued the 1235352683 to Dyan Gale Kolb on 2007-04-11.
As of what date was the information pertaining to Dyan Gale Kolb, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dyan Gale Kolb, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-09-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY