Acacia Psychological Corporation

NPI #1316415359 in La Jolla, California

Provider Information

NPI Number: 1316415359
Entity Type: Organization
Organization Name: Acacia Psychological Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: ACACIA PSYCHOLOGICAL CORPORATION
Primary Specialty: Psychologist
Enumeration Date: Nov 7, 2018
Last Updated: Dec 7, 2018

Practice Location

Address: 8950 VILLA LA JOLLA DR STE C121
City: La Jolla
State: California
ZIP Code: 92037-1707
Phone: (888) 699-4873

Authorized Official

Name: MS. JESS RODRIGUEZ
Title: DIRECTOR OF BUSINESS SERVICES
Phone: (805) 472-6099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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