Individual
DR. DIANE D. KAWAGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4785 N 1ST ST, FRESNO, CA 93726-0513
(559) 448-4766
Mailing address
4785 N 1ST ST, FRESNO, CA 93726-0513
(559) 448-4766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14456
CA
Other
Enumeration date
12/08/2006
Last updated
01/03/2022
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