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Individual
DR. ILENE DIAMOND
Active
Individual
DR. ILENE DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
21575
CA
103TA0700X
Adult Development & Aging Psychologist
21575
CA
103TB0200X
Cognitive & Behavioral Psychologist
21575
CA
103TC0700X
Clinical Psychologist
Primary
21575
CA
103TC2200X
Clinical Child & Adolescent Psychologist
21575
CA
103TH0004X
Health Psychologist
21575
CA
103TP2701X
Group Psychotherapy Psychologist
21575
CA
Other
Enumeration date
12/15/2008
Last updated
01/22/2013
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