| Doctor Name: | DIANE HOLLAND ENGELMAN |
| NPI Number: | 1437440476 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY11457 |
| Business Practice Address: | 1044 Sir Francis Drake Blvd Ste 4 Kentfield, CA - 949041454 |
| Business Phone Number: | 4157217382 |
| Business Fax Number: | 4157217448 |
| Mailing Address: | 1044 Sir Francis Drake Blvd Ste 4, KENTFIELD |
| State: | CA |
| Postal Code: | 949041454 |
| Phone Number: | 4157217382 |
| Fax Number: | 4157217448 |
| NPI Enumeration Date: | 04/25/2011 |
| NPI Last Update Date: | 04/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY11457 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |