Individual
DIANE ARLENE STARKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, MSCP
Contact information
Practice address
1505 15TH ST STE A, LOS ALAMOS, NM 87544-3000
(505) 500-5894
(505) 557-1140
Mailing address
1505 15TH ST STE A, LOS ALAMOS, NM 87544-3000
(505) 500-5894
(505) 557-1140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1134
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY-2024-0068
NM
Other
Enumeration date
09/07/2006
Last updated
03/23/2025
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