Individual
DR. DIANE J COHEN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5625 COLLEGE AVE STE 210C, OAKLAND, CA 94618-1677
(510) 653-1464
(510) 547-0174
Mailing address
5625 COLLEGE AVE STE 210C, OAKLAND, CA 94618-1677
(510) 653-1464
(510) 547-0174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13662
CA
103TC0700X
Clinical Psychologist
PSY13662
CA
Other
Enumeration date
11/18/2005
Last updated
12/02/2024
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