Individual
DR. DIANE PUCHBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
188 N EUCLID AVE, UPLAND, CA 91786-6083
(562) 547-0137
(909) 921-0221
Mailing address
PO BOX 1570, UPLAND, CA 91785-1570
(562) 547-0137
(909) 921-0221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21870
CA
103TF0000X
Family Psychologist
PSY21870
CA
Other
Enumeration date
11/24/2009
Last updated
02/13/2019
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