Provider Demographics
NPI:1265507636
Name:PEINADO, DIANA H (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:H
Last Name:PEINADO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 SKYWAY DR STE A
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1133
Mailing Address - Country:US
Mailing Address - Phone:805-554-3303
Mailing Address - Fax:
Practice Address - Street 1:2370 SKYWAY DR STE A
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1133
Practice Address - Country:US
Practice Address - Phone:805-554-3303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 44991106H00000X
CA47029106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist