Provider Demographics
NPI:1023186400
Name:WEINSTOCK, DIANA (PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:
Last Name:WEINSTOCK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 ALHAMBRA AVE.
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-2353
Mailing Address - Country:US
Mailing Address - Phone:925-426-0718
Mailing Address - Fax:925-426-0718
Practice Address - Street 1:1134 ALHAMBRA AVE.
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-2353
Practice Address - Country:US
Practice Address - Phone:925-426-0718
Practice Address - Fax:925-426-0718
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 8096103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist