Psychsandiego

NPI #1114245727 in San Diego, California

Provider Information

NPI Number: 1114245727
Entity Type: Organization
Organization Name: Psychsandiego
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 6, 2010
Last Updated: May 6, 2010

Practice Location

Address: 311 LAUREL ST
City: San Diego
State: California
ZIP Code: 92101-1630
Phone: (858) 531-4960

Authorized Official

Name: JUSTINE DYKES
Title: OFFICE MANAGER
Phone: (858) 531-4960

Specialties & Taxonomy Codes

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

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