Individual
DR. DIANE MALNEKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
509 7TH STREET, SANTA ROSA, CA 95401
(707) 523-1000
(707) 568-1117
Mailing address
509 7TH STREET, SANTA ROSA, CA 95401
(707) 523-1000
(707) 568-1117
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16018
CA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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