Dr Diana Patricia Ketterman, PHD is a medicare enrolled "Psychologist" provider in Alta Loma, California. She graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
5033 Carriage Rd, Alta Loma, California. You can reach out to her office (for appointments etc.) via phone at
(909) 732-6224.
Dr Diana Patricia Ketterman is licensed to practice in California (license number 33769) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1811487937.
Healthcare Provider's Profile
| Full Name | Dr Diana Patricia Ketterman |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 37 Years |
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| Location | 5033 Carriage Rd, Alta Loma, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Diana Patricia Ketterman graduated from medical school in 1989
NPI Data:
- NPI Number: 1811487937
- Provider Enumeration Date: 05/14/2018
- Last Update Date: 09/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597257915
- Enrollment ID: I20251124001382
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 |
|---|
| 103T00000X | Psychologist | 33769 (California) | Primary |
| 103TS0200X | Psychologist - School | 2551 (California) | Secondary |
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
enrolled with medicare and thus, if eligible, can 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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