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Individual

DR. DIANA SIMMS VINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
1881 CAMINITO VELEZ, LA JOLLA, CA 92037-5726
(858) 459-8248
Mailing address
1881 CAMINITO VELEZ, LA JOLLA, CA 92037-5726
(858) 459-8248

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY17702
CA

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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