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Individual

DR. ELLEN M DIANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2509 E RIDGE CREEK RD, PHOENIX, AZ 85024-5274
(480) 703-0037
Mailing address
2509 E RIDGE CREEK RD, PHOENIX, AZ 85024-5274
(480) 703-0037

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1968
AZ

Other

Enumeration date
10/26/2006
Last updated
10/22/2010
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