Individual
DIANA DI CIACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 E 4TH ST, SANTA ANA, CA 92705-3804
(714) 683-5876
Mailing address
13211 MYFORD RD APT 124, TUSTIN, CA 92782-9144
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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