| NPI | 1497819973 |
|---|---|
| Doing Business As | PSYCHSANDIEGO |
| Entity Type | Organization |
| Authorized Contact | ALESSANDRA SONBOLEH ANTONIA WALL Licensed Clinical Psychologist 858-352-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy20775) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |