Protected Roots Integrative
NPI #1083318448 in La Jolla, California
Provider Information
- NPI Number
- 1083318448
- Entity Type
- Organization
- Organization Name
- Protected Roots Integrative
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Enumeration Date
- Mar 29, 2023
- Last Updated
- Mar 29, 2023
Practice Location
- Address
- 7817 HERSCHEL AVE UNIT 101-102
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-4454
- Phone
- (858) 295-1815
Authorized Official
- Name
- DR. SUYEU KUO, PSYD
- Title
- EXECUTIVE CLINICAL DIRECTOR
- Phone
- (925) 269-7451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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