Individual
DEANA SOTO VIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 YGNACIO VALLEY RD STE C202, WALNUT CREEK, CA 94598-3392
(707) 646-1230
Mailing address
58 OAKSTONE WAY, AMERICAN CANYON, CA 94503-1456
(707) 246-3271
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP3027
CA
Other
Enumeration date
10/07/2022
Last updated
08/12/2024
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