Individual
DR. DIANA I PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
97 N COOPER RD, #85, CHANDLER, AZ 85225-5892
(602) 573-5813
Mailing address
97 N COOPER RD, #85, CHANDLER, AZ 85225-5892
(602) 573-5813
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2048493
AZ
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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