Individual
DR. DIANE MARQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3020 CHILDRENS WAY, DEVELOPMENTAL EVALUATION CLINIC; MAIL CODE 5023, SAN DIEGO, CA 92123-4223
(858) 966-5817
(858) 966-8528
Mailing address
3020 CHILDRENS WAY, DEVELOPMENTAL EVALUATION CLINIC; MAIL CODE 5023, SAN DIEGO, CA 92123-4223
(858) 966-5817
(858) 966-8528
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY19659
CA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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