Individual
CATHERINE FAN DIONISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
710 S BROADWAY STE 300, WALNUT CREEK, CA 94596-5229
(925) 295-4145
Mailing address
710 S BROADWAY STE 300, WALNUT CREEK, CA 94596-5229
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26492
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2008
Last updated
01/11/2022
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