CHARLES CLARK ERTL

SAN DIEGO, CA
NPI1356375729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  psy15479)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
-- CHARLES CLARK ERTL Ph.D.
10981 SAN DIEGO MISSION RD SUITE 114
SAN DIEGO, CA 92108-2448
Phone number: 619-286-2687
Mailing Address
-- CHARLES CLARK ERTL Ph.D.
4852 LILA DR
SAN DIEGO, CA 92115-1910
Phone number: 619-286-2687
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