Individual
DIANE SELINA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, AMFT
Contact information
Practice address
658 E BRIER DR STE 150, SAN BERNARDINO, CA 92408-2875
(909) 501-0700
Mailing address
2500 E FOOTHILL BLVD STE 300, PASADENA, CA 91107-7102
(626) 993-3000
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
106H00000X
Marriage & Family Therapist
AMFT132452
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/25/2022
Last updated
07/15/2026
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