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Dr. Diane Lass, PhD

Psychologist, Clinical in San Diego, CA. Individual provider (NPI-1).

NPI number1336688142
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1336688142
Entity type
Individual (NPI-1)
Name
Dr. Diane Lass
Credential
PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 14, 2017
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY23820CAYes

Practice location

5059 Newport Ave Ste 202
San Diego, CA 92107-3056

Phone 619-533-6089

Mailing address

5059 Newport Ave Ste 202
San Diego, CA 92107-3056

Phone 619-533-6089

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