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Individual

DR. DIANE MARLA GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1660 S COLUMBIAN WAY, S-123-PCC, SEATTLE, WA 98108-1532
(206) 764-2965
(206) 764-2936
Mailing address
220 18TH AVE E, SEATTLE, WA 98112-5231

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1519
WA
103TC0700X
Clinical Psychologist
Primary
1519
WA
103TF0000X
Family Psychologist
1519
WA
103TH0100X
Health Service Psychologist
1519
WA
103TP2701X
Group Psychotherapy Psychologist
1519
WA

Other

Enumeration date
09/14/2006
Last updated
02/23/2015
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