Individual
DR. DIANA MARIA COSULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3555 WHIPPLE RD, UNION CITY, CA 94587-1507
(510) 675-3080
(510) 675-4648
Mailing address
3555 WHIPPLE RD, UNION CITY, CA 94587-1507
(510) 675-3080
(510) 675-4648
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17168
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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