Sage De Beixedon Breslin, Ph.d.: Psychologist - a Professional Corp

NPI #1801172879 in Solana Beach, California

Provider Information

NPI Number: 1801172879
Entity Type: Organization
Organization Name: Sage De Beixedon Breslin, Ph.d.: Psychologist - a Professional Corp
Primary Specialty: Psychologist - Counseling
Enumeration Date: Oct 22, 2011
Last Updated: Oct 22, 2011

Practice Location

Address: 990 HIGHLAND DR
Address 2: SUITE100
City: Solana Beach
State: California
ZIP Code: 92075-2408
Phone: (858) 481-8810

Authorized Official

Name: DR. SAGE DE BEIXEDON BRESLIN, PH.D.
Title: CEO, CFO / LICENSED PSYCHOLOGIST
Phone: (858) 481-8810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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