Individual
DR. DIANA LISA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16530 VENTURA BLVD, SUITE 200, ENCINO, CA 91436-4554
(818) 385-0684
(818) 385-1166
Mailing address
11075 SANTA MONICA BLVD, ISAP, SUITE 100, LOS ANGELES, CA 90025-3556
(310) 267-5236
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15342
CA
Other
Enumeration date
11/10/2011
Last updated
11/30/2021
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