Individual
DR. DIANE J. HARRIS-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
519 17TH ST, SUITE 530, OAKLAND, CA 94612-1527
(510) 452-4281
(510) 452-4281
Mailing address
519 17TH STREET, SUITE 530, OAKLAND, CA 94612-1503
(510) 452-4281
(510) 452-4281
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2990
MA
103T00000X
Psychologist
Primary
PSY 9780
CA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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