Individual
DIANA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8481
Mailing address
1120 W LA VETA AVE STE 470, ORANGE, CA 92868-4233
(714) 509-8481
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32128
CA
Other
Enumeration date
06/20/2019
Last updated
08/30/2021
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