Doctor Name: | DR. ROSALIE CHRISTINE DIAZ |
NPI Number: | 1609115302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 120-16555 Fraser Hwy Surrey, BC - V4N OE9 |
Business Phone Number: | 6045752325 |
Business Fax Number: | |
Mailing Address: | 14819 59a Avenue, SURREY |
State: | BC |
Postal Code: | V3S 2W6 |
Phone Number: | 7789606762 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2013 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |