Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY25085 | CA |
N | 103T00000X | Psychologist | PSY25085 | CA |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 25085 | CA |
N | 103TH0004X | Health Psychologist | 25085 | CA |
N | 103TH0100X | Health Service | 25085 | CA |
NPI | 1003164260 |
---|---|
Provider Name | Dr. Diana Naranjo |
First Address | Palo Alto, CA 94304-1419 |
Second Address | Palo Alto, CA 94304-1419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2012 |
Last Update Date | 22/07/2015 |