Individual
MS. DIANNE KAY LASSMAN WOLKENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9399
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14858
CA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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