Doctor Name: | MS. DIANA ACEVEDO SELOVER |
NPI Number: | 1386757367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS9578 |
Business Practice Address: | 16111 Plummer St Building 10 Sepulveda, CA - 913432036 |
Business Phone Number: | 8188917711 |
Business Fax Number: | 8188955858 |
Mailing Address: | 1167 E Badillo St Apt A, COVINA |
State: | CA |
Postal Code: | 917243012 |
Phone Number: | 6263324579 |
Fax Number: | 8188955858 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS9578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |