Individual
DIANE J HUISINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
729 SUNRISE AVE STE 101, ROSEVILLE, CA 95661-4504
(916) 771-7852
(530) 622-2793
Mailing address
729 SUNRISE AVE STE 101, ROSEVILLE, CA 95661-4504
(916) 771-7852
(530) 622-2793
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16059
CA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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