Individual
DIANA SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1030 SF DRAKE BLVD, SUITE 100-2, KENTFIELD, CA 94904-1411
(415) 721-2884
(415) 482-6642
Mailing address
1030 S. F. DRAKE BLVD., SUITE 100-2, KENTFIELD, CA 94904-1438
(415) 721-2884
(415) 482-6642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 15069
CA
Other
Enumeration date
02/13/2006
Last updated
07/28/2009
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