Individual
DR. DIANE LYNN DUBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 BEATTY ST, MEDFORD, OR 97501-5811
(541) 476-2373
Mailing address
PO BOX 1651, GRANTS PASS, OR 97528-0140
(707) 845-7844
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3052
OR
103TC0700X
Clinical Psychologist
PSY12908
CA
Other
Enumeration date
12/08/2006
Last updated
03/20/2020
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