Michael G Destefano, PHD
NPI #1295912988 in Atascadero, California
Provider Information
- NPI Number
- 1295912988
- Entity Type
- Individual
- Name
- Michael G Destefano, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Jan 25, 2008
- Last Updated
- Jan 25, 2008
Practice Location
- Address
- 10333 EL CAMINO REAL
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-5808
- Phone
- (805) 468-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychologist - Exercise & Sports — Exercise & Sports |
| Psychologist - Psychoanalysis — Psychoanalysis |
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