Most Relevant Information
Provider Data
| NPI Number: | 1003035452 |
| Provider Name: | VANESSA DIANE ISETTA PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY20941 |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 08/06/2015 |
Provider Practice Location
2309 PACIFIC COAST HWY
SUITE #207
HERMOSA BEACH
CA
902542751
Practice Location Phone/Fax
| Phone: | 3109807352 |
| Fax: |
Provider Mailing Location
2309 PACIFIC COAST HWY STE 207
HERMOSA BEACH
CA
902542753
Provider Mailing Phone/Fax
| Phone: | 3109807352 |
| Fax: |