Dr Diana Patricia Ketterman, PHD is a
Psychologist - Clinical based in Alta Loma, California. Dr Diana Patricia Ketterman is licensed to practice in California (license number 33769) and her current practice location is
5033 Carriage Rd, Alta Loma, California. She can be reached at her office (for appointments etc.) via phone at
(909) 732-6224.
NPI number for Dr Diana Patricia Ketterman is 1811487937 and her current mailing address is 5033 Carriage Rd, Alta Loma, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811487937.
Healthcare Provider's Profile
| Full Name | Dr Diana Patricia Ketterman |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 5033 Carriage Rd, Alta Loma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811487937
- Provider Enumeration Date: 05/14/2018
- Last Update Date: 11/15/2022
Medical Identifiers
Medical identifiers for Dr Diana Patricia Ketterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811487937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 2551 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33769 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diana Patricia Ketterman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Diana Patricia Ketterman, PHD
5033 Carriage Rd,
Alta Loma, CA 91737-1685
Ph: (909) 732-6224 | Dr Diana Patricia Ketterman, PHD
5033 Carriage Rd,
Alta Loma, CA 91737-1685
Ph: (909) 732-6224 |
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