Individual
DIANE HOLLAND ENGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1044 SIR FRANCIS DRAKE BLVD STE 4, KENTFIELD, CA 94904-1454
(415) 721-7382
(415) 721-7448
Mailing address
1044 SIR FRANCIS DRAKE BLVD STE 4, KENTFIELD, CA 94904-1454
(415) 721-7382
(415) 721-7448
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY11457
—
103TC0700X
Clinical Psychologist
PSY11457
CA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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