Healthcare Provider Details

I. General information

NPI: 1013036599
Provider Name (Legal Business Name): DR. DIANE MARIE DUMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 W 2ND AVE
ESCONDIDO CA
92025-3839
US

IV. Provider business mailing address

750 B ST STE 2870
SAN DIEGO CA
92101-8132
US

V. Phone/Fax

Practice location:
  • Phone: 619-722-0014
  • Fax: 619-327-4174
Mailing address:
  • Phone: 619-722-0014
  • Fax: 619-327-4174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY20847
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY20847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: