Provider Demographics
NPI:1497065221
Name:ALVES, DIANA LYNN
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:LYNN
Last Name:ALVES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DIANA
Other - Middle Name:LYNN
Other - Last Name:BRANDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:19008 TOM PAINE AVE
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304
Mailing Address - Country:US
Mailing Address - Phone:209-834-4929
Mailing Address - Fax:
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:VA PALO ALTO HEALTH CARE SYSTEM
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-815-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS114961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical