| NPI | 1750379400 |
|---|---|
| Doing Business As | SAN DIEGO BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CORINNA YOUNG CASEY President 858-794-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY20004) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY20004) |
| 103TH0100X Psychologist Health Service (Licence: CA PSY20004) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2016-08-16 |