Individual
CARMENLUZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 ZANKER RD, SUITE 200, SAN JOSE, CA 95134-2130
(408) 325-5100
Mailing address
PO BOX 1253, MENLO PARK, CA 94026-1253
(650) 630-6927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28432
CA
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
01/09/2012
Last updated
12/27/2022
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