Individual
DR. LYANNA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
4924 SHELBY AVE APT 207, RAPID CITY, SD 57701-6350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
607
SD
Other
Enumeration date
01/21/2015
Last updated
03/20/2024
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