Whalio Doctors

NPI 1003022534

Diane Hutt Anderson, LCSW

Practitioner Clinical Social Worker Glendora, CA

Practice location

Address
2605 E. Foothill Boulevard #109, Glendora, CA 91740
Phone
(909) 967-6236
Fax
(909) 861-9371
Mailing address
2605 E Foothill Blvd # 109, Glendora, CA 91740-4003

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCS 22996 (CA)

Registry record

NPI
1003022534
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 May 2007
Record last updated
4 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.