Provider Demographics
NPI:1578695276
Name:STUDNA, DIANE (PSYD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:STUDNA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23241 VENTURA BLVD
Mailing Address - Street 2:SUITE 246
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1003
Mailing Address - Country:US
Mailing Address - Phone:818-232-5655
Mailing Address - Fax:
Practice Address - Street 1:23241 VENTURA BLVD
Practice Address - Street 2:SUITE 246
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1003
Practice Address - Country:US
Practice Address - Phone:818-232-5655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 16963103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical