Individual
HY DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 MOORPARK AVE, 300, SAN JOSE, CA 95128-2631
(408) 975-2730
(408) 975-2745
Mailing address
2400 MOORPARK AVE, 300, SAN JOSE, CA 95128-2631
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PSY26861
CA
Other
Enumeration date
07/14/2011
Last updated
12/01/2017
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