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General NPI Number Information
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NPI Number | 1609922905
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Entity Type | Individual
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Provider Name | DIANA YOUNG LMFT, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 1811 SANTA RITA RD STE 128
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City | PLEASANTON
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State | CA
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Zip | 94566-4500
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Country | US
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Telephone | 925-927-7200
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Fax | 925-227-1253
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Provider Business Mailing Address
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Address Line | 1811 SANTA RITA RD STE 128
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City | PLEASANTON
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State | CA
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Zip | 94566-4500
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Country | US
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Telephone | 925-927-7200
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Fax | 925-227-1253
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 24260
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 25398
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License Number State | CA
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