Individual
JANIS J DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103G00000X
Clinical Neuropsychologist
4104
PR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4104
PR
103TA0700X
Adult Development & Aging Psychologist
4104
PR
103TB0200X
Cognitive & Behavioral Psychologist
4104
PR
103TC0700X
Clinical Psychologist
Primary
4104
PR
103TC2200X
Clinical Child & Adolescent Psychologist
4104
PR
103TF0000X
Family Psychologist
4104
PR
103TF0200X
Forensic Psychologist
4104
—
103TH0100X
Health Service Psychologist
4104
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4104
PR
103TP0814X
Psychoanalysis Psychologist
4104
—
103TP2701X
Group Psychotherapy Psychologist
4104
—
103TR0400X
Rehabilitation Psychologist
4104
—
Other
Enumeration date
01/10/2012
Last updated
02/14/2012
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