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Dr. Diane D. Kawagoe, Ph.D.

Psychologist in Fresno, CA. Individual provider (NPI-1).

NPI number1104985597
StatusActive
Last updated in NPPESJan 3, 2022

Details

NPI
1104985597
Entity type
Individual (NPI-1)
Name
Dr. Diane D. Kawagoe
Credential
Ph.D.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 8, 2006
Last updated
Jan 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPSY14456CAYes

Practice location

4785 N 1st St
Fresno, CA 93726-0513

Phone 559-448-4766

Mailing address

4785 N 1st St
Fresno, CA 93726-0513

Phone 559-448-4766

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