Whalio Doctors

NPI 1003195066

Diana Moore, MALMFTLPCC

Practitioner Marriage & Family Therapist San Mateo, CA

Practice location

Address
1510 Fashion Island Blvd Suite 110, San Mateo, CA 94404-1596
Phone
(650) 906-3978
Fax
(650) 570-4283

Registered specialties (3)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFC 50214 (CA)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2021012918 (MO)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC 85 (CA)

Registry record

NPI
1003195066
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Aug 2011
Record last updated
23 Apr 2024

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.