ERIC G POTTERAT

SAN DIEGO, CA
NPI1740266576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY16741)
Enumeration Date2005-12-22
Last Update Date2007-07-08
Business Address
Dr. ERIC G POTTERAT Ph.D.
NAVAL SPECIAL WARFARE CENTER 2446 TRIDENT WAY
SAN DIEGO, CA 92155-5494
Phone number: 619-437-3652
Mailing Address
Dr. ERIC G POTTERAT Ph.D.
11865 ARBORLAKE WAY
SAN DIEGO, CA 92131-2608
Phone number: 619-437-3652