| Divergent Psychological Inc. | |
|
21701 Stevens Creek Blvd Unit 2914 Cupertino CA 95015-3418 | |
| (628) 400-2303 | |
| (628) 246-8289 |
| Full Name | Divergent Psychological Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21701 Stevens Creek Blvd Unit 2914, Cupertino, California |
| Authorized Official Name and Position | Marianne Lapastora (OWNER) |
| Authorized Official Contact | 6284002303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divergent Psychological Inc. Po Box 2914 Cupertino CA 95015-2914 Ph: (628) 400-2303 | Divergent Psychological Inc. 21701 Stevens Creek Blvd Unit 2914 Cupertino CA 95015-3418 Ph: (628) 400-2303 |
| NPI Number | 1336000926 |
|---|---|
| Provider Enumeration Date | 11/21/2025 |
| Last Update Date | 11/21/2025 |
| Certification Date | 11/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336000926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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