Individual
DR. DIANE K. PENDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4452 PARK BLVD, SUITE 101, SAN DIEGO, CA 92116-4051
(866) 842-8927
(866) 842-8927
Mailing address
4452 PARK BLVD, SUITE 101, SAN DIEGO, CA 92116-4051
(866) 842-8927
(866) 842-8927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20239
CA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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