Provider Demographics
NPI:1568511996
Name:SEEB, DIANA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:M
Last Name:SEEB
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 1:64185 SILVER STAR AVENUE
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240
Mailing Address - Country:US
Mailing Address - Phone:760-660-4809
Mailing Address - Fax:800-878-2143
Practice Address - Street 1:25255 CABOT ROAD
Practice Address - Street 2:SUITE 211
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-842-4420
Practice Address - Fax:800-878-2143
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6773103TC0700X
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP6773Medicare UPIN
CACP6773AMedicare ID - Type Unspecified
CP6773Medicare PIN