Individual
DESYRE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 252-2871
Mailing address
4621 W WAGONER RD, GLENDALE, AZ 85308-1526
(480) 371-8429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
04/15/2026
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