Diane Marie Boll is a Clinical in Corona, California. Diane Marie Boll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Marie Boll is 1417001983. The last update date is 2007-07-08.
Diane Marie Boll's current location address is 710 Rimpau Ave Suite 104, Corona, California. You can contact this provider via phone number 9513772138. The mailing address for Diane Marie Boll is 710 Rimpau Ave Suite 104, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Marie Boll |
|---|---|
| Address | 710 Rimpau Ave Suite 104, Corona, California |
| Phone Number | 9513772138 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1417001983 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 710 Rimpau Ave Suite 104 |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 92879 |
| Phone Number | 9513772138 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17101 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Diane Marie Boll by the Centers for Medicare & Medicaid Services?
The Diane Marie Boll has been assigned the NPI (National Provider Identifier) 1417001983 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Diane Marie Boll's physical address?
The Diane Marie Boll is physically located at 710 Rimpau Ave Suite 104, in the city of Corona, CA, with the postal code 92879.
What is Diane Marie Boll's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Diane Marie Boll is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1417001983 assigned to Diane Marie Boll?
The Diane Marie Boll was issued its 1417001983 on 2007-01-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Diane Marie Boll most recently updated?
The details pertaining to the Diane Marie Boll, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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