Andrew Bismark

NPI #1013423979 in San Diego, California

Provider Information

NPI Number: 1013423979
Entity Type: Individual
Name: Andrew Bismark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 14, 2017
Last Updated: Dec 14, 2017

Practice Location

Address: 3350 LA JOLLA VILLAGE DR
City: San Diego
State: California
ZIP Code: 92161-0002
Phone: (858) 245-5825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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