Individual
MRS. DIANA M GREG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
8950 VILLA LA JOLLA DR, SUITE B-208, LA JOLLA, CA 92037-1714
(858) 552-1559
(858) 552-1502
Mailing address
8950 VILLA LA JOLLA DR, SUITE B-208, LA JOLLA, CA 92037-1714
(858) 552-1559
(858) 552-1502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MFC 18346
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ14186Z
BLUE SHEILD
CA
Enumeration date
02/15/2007
Last updated
07/08/2007
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