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Individual

DR. DIANNE LOUISE RACKLIFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2100 NAPA VALLEJO HWY., NAPA, CA 94558-6293
(707) 253-5000
Mailing address
2100 NAPA VALLEJO HWY., NAPA, CA 94558-6293
(707) 253-5000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 16036
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000244285
HMSA PROVIDER NUMBER
HI
Enumeration date
10/02/2006
Last updated
04/02/2019
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