Individual provider · NPI-1

Yarisel Diaz, Psy.D

Psychologist, Clinical · Astoria, NY

NPI number1497119275
StatusActive
Last updated in NPPESApr 7, 2016

Details

NPI
1497119275
Entity type
Individual (NPI-1)
Name
Yarisel Diaz
Credential
Psy.D
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2016
Last updated
Apr 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinicaldon't have licensePRYes

Practice location

3074 30th St
3f Apt
Astoria, NY 11102-2604

Phone 929-284-6399

Mailing address

3074 30th St
3f Apt
Astoria, NY 11102-2604

Phone 929-284-6399

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