Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY 9822 | CA |
Y | 103T00000X | Psychologist | PSY 9822 | CA |
NPI | 1013035203 |
---|---|
Provider Name | Dr. Diane Susan Krieger |
First Address | Santa Barbara, CA 93105-2932 |
Second Address | Santa Barbara, CA 93105-2932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |