Diane V Petz
Clinical Psychologist
66 E 3rd St 201
Winona
, Minnesota 55987-3478
Diane V Petz
Clinical Psychologist
66 E 3rd St 201
Winona
, Minnesota 55987-3478
(507) 457-9887
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Diane V Petz
- 66 E 3rd St 201
- Winona, MN
- Zip : 55987-3478
- Fax : (507) 457-9887
- Phone : (507) 452-7292
Second Address
- Diane V Petz
- 66 E 3rd St 201
- Winona, MN
- Zip : 55987-3478
- Fax : (507) 457-9887
- Phone : (507) 452-7292
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Where is Diane V Petz ’s practice located?
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Is Diane V Petz a sole practitioner?
Is Diane V Petz accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | LP3132 | MN |
| Y | 103TC0700X | Clinical Psychologist | LP3132 | MN |
National Provider Identifier
| NPI | 1003978024 |
|---|---|
| Provider Name | Diane V Petz |
| First Address | Winona, MN 55987-3478 |
| Second Address | Winona, MN 55987-3478 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 118043 | (05) | MN |
| 731291024499 | PREFERRED ONE (01) | MN |
| 975T0PE | BCBS-MN (01) | MN |
| HP29923 | HEALTHPARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.