Individual
DR. DIANA C. DIREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36 WESTON AVE, QUINCY, MA 02170-1833
(617) 786-0137
Mailing address
36 WESTON AVE, QUINCY, MA 02170-1833
(617) 786-0137
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7200
MA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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