Individual
DR. DIANA LOUISE TRICHILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ABPDN
Contact information
Practice address
450 PITT AVE, SUITE 3, SEBASTOPOL, CA 95472-3747
(707) 824-1130
Mailing address
PO BOX 2795, SEBASTOPOL, CA 95473-2795
(707) 824-1130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 16784
CA
103T00000X
Psychologist
PSY 16784
CA
Other
Enumeration date
09/04/2009
Last updated
03/06/2017
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