Individual
DIANE LESLIE MINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11980 SAN VINCENTE BLVD, STE 900, LOS ANGELES, CA 90049
(310) 826-1085
(310) 479-3450
Mailing address
11980 SAN VINCENTE BLVD, STE 900, LOS ANGELES, CA 90049
(310) 826-1085
(310) 479-3450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY123800
CA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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