Individual
DIANE PATRICIA DESMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 499-6666
Mailing address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 499-6666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18415
CA
Other
Enumeration date
10/20/2006
Last updated
12/28/2007
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