Individual
DR. TABITHA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 FAIR SAILING RD, MOUNT PLEASANT, SC 29466-8167
(854) 205-6386
(800) 420-8033
Mailing address
225 W BROADWAY STE 155, GLENDALE, CA 91204-1332
(818) 441-7800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28990
CA
Other
Enumeration date
09/10/2012
Last updated
09/23/2025
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