Provider Demographics
NPI:1871357335
Name:MADE WITH LOVE THERAPY
Entity type:Organization
Organization Name:MADE WITH LOVE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINCIAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUACH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-215-5419
Mailing Address - Street 1:4821 CLOVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-3809
Mailing Address - Country:US
Mailing Address - Phone:626-215-5419
Mailing Address - Fax:
Practice Address - Street 1:1925 46TH AVE UNIT 83
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010
Practice Address - Country:US
Practice Address - Phone:408-384-8168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty