Individual
DIANA CHAPPELEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1007 MYRTLE AVE, INGLEWOOD, CA 90301-4009
(310) 412-4191
Mailing address
6563 W 82ND ST, LOS ANGELES, CA 90045-2841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14717
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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