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Organization

DIVERGENT PSYCHOLOGICAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIANNE LAPASTORA PSYD (OWNER)
(628) 400-2303
Entity
Organization

Contact information

Practice address
21701 STEVENS CREEK BLVD UNIT 2914, CUPERTINO, CA 95015-3418
(628) 400-2303
(628) 246-8289
Mailing address
PO BOX 2914, CUPERTINO, CA 95015-2914
(628) 400-2303
(628) 246-8289

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
11/21/2025
Last updated
11/21/2025
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