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1861215048
ANNA BASANTY
SAN DIEGO, CA
NPI
1861215048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CA PSY35341)
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
Dr. ANNA BASANTY Ph.D.
12625 HIGH BLUFF DR STE 204
SAN DIEGO, CA 92130-2053
Phone number: 858-692-4187
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Mailing Address
Dr. ANNA BASANTY Ph.D.
2562 NORTHSIDE DR APT 401
SAN DIEGO, CA 92108-6783
Phone number: 425-308-8073
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